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Contact Information

MALLORY MONTGOMERY, MS, ATR-BC
2800 W GRAND BLVD
DETROIT, MI48202-2610
 Phone: 133-556-8188
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Art Therapist

221700000X
Indicates primary specialty

NPI Profile & details for MALLORY MONTGOMERY · (Female)

NPI Number 1851835151
Status Active
Credentials MS, ATR-BC
Entity Individual
Enumeration date 12/06/2016
Last updated 08/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 17-250
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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