Micaelyn Luree Montgomery, MS CCC-SLP | |
910 Country Side Dr, Webb City, MO 64870-1057 | |
(417) 592-4585 | |
Not Available |
Full Name | Micaelyn Luree Montgomery |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 910 Country Side Dr, Webb City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790265817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 4502 (Kansas) | Secondary |
235Z00000X | Speech-language Pathologist | 2018032344 (Missouri) | Primary |
Provider Name | The Max Therapy Center Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1710577549 PECOS PAC ID: 7315348711 Enrollment ID: O20210623000708 |
Mailing Address | Practice Location Address |
---|---|
Micaelyn Luree Montgomery, MS CCC-SLP 910 Country Side Dr, Webb City, MO 64870-1057 Ph: (417) 592-4585 | Micaelyn Luree Montgomery, MS CCC-SLP 910 Country Side Dr, Webb City, MO 64870-1057 Ph: (417) 592-4585 |
Webb City R-7 School District Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 411 N Madison St, Webb City, MO 64870 Phone: 417-673-6000 Fax: 417-673-6007 | |
Laura M Green, MED CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1401 W Austin St, Webb City, MO 64870 Phone: 417-850-4316 | |
Mrs. Jacqueline Leanne Young, JACQUELINE YOUNG Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 411 Madison, Webb City, MO 64870 Phone: 417-673-6000 | |
Carrie Roberts, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 411 N Madison St, Webb City, MO 64870 Phone: 417-673-6000 | |
Janessa Kingore, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 411 N Madison St, Webb City, MO 64870 Phone: 417-673-6000 | |
Bethany Herron, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 411 N Madison St, Webb City, MO 64870 Phone: 417-673-6000 | |
Communicare P.c. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1401 W Austin St, Webb City, MO 64870 Phone: 417-434-5848 |