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Provider Information for 1467758516



MONTGOMERY PSYCHIATRY & ASSOCIATES

Organization Subpart: NO

Organization NPI: 1467758516

Calendar Last Updated: 2011-02-08

Details

Name Value
NPI 1467758516
Enumeration Date 2011-02-08
NPI Type 2- Organization
Status Active
Mailing Address 1040 LONGFIELD CT
MONTGOMERY, AL 36117-8055
United States

Phone: 334-288-9009 | Fax: 334-288-9497
View Map External Link
Primary Practice Address 1040 LONGFIELD CT
MONTGOMERY, AL 36117-8055
United States

Phone: 334-288-9009 | Fax: 334-288-9497
View Map External Link
Authorized Official Information Name: TERESA DUFFEY
Title: OFFICE MANAGER
Phone: 334-288-9009
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 193400000X SINGLE SPECIALTY GROUP
2084P0800X - Psychiatry & Neurology Psychiatry
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location