Female

Mallory Montgomery MS, ATR-BC

Art Therapist in Detroit, MI(View on Map)

Full Name

Mallory Montgomery MS, ATR-BC

NPI Number

1851835151

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/06/2016

Specialties

(Taxonomies)

Code

221700000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

17-250

Contact
Information

Purpose

Mailing
Location

Address

2800 W GRAND BLVD
2800 W GRAND BLVD

City

Detroit
Detroit

State

MI
MI

Postal Code

48202-2610
48202-2610

Country

US
US

Telephone Number

N/A
(133) 556-8188

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

mmontgo2@hfhs.org

Endpoint Description

email

Use

Direct

Content Type

Other

Other Description:
email

Affiliation

N

Endpoint Location

2800 W Grand BlvdDetroit, MI482022610US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/11/2021

Provider Address

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