| NPI | 1487821856 |
|---|---|
| Doing Business As | KIMBERLY G. MONTGOMERY, PH.D. HSPP |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY G. MONTGOMERY Psychologist 317-580-4007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IN 20040771) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |