NPI 1851835151

Mallory Montgomery, MSATRBC

Practitioner Art Therapist Detroit, MI

Practice location

Address: 2800 W Grand Blvd, Detroit, MI 48202-2610
Phone: (133) 556-8188

Registered specialties

Art Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 221700000X Licence 17-250 (MI)

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Registry record

NPI: 1851835151
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2016
Record last updated: 11 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.