Alice Elizabeth Montgomery, SPEECH PATHOLOGIST,

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

117368 Issued in MO

Practice address

226 S. Wood Mill Rd.
Suite 37W
Chesterfield, MO 63017-3442

Phone

(314) 523-5390

NPI assigned

Apr 19, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1972829703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S. WOOD MILL RD.",
            "address_2": "SUITE 37W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173442",
            "telephone_number": "314-523-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S. WOOD MILL RD.",
            "address_2": "SUITE 37W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173442",
            "telephone_number": "314-523-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ALICE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "SPEECH PATHOLOGIST,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "117368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geizy Momanyi
• Momba Home Care Missouri, LLC
• Monarch Fire Protection District
• Taylor Christine Monken Malach, MABA, BCBA, LBA
• Charles A. Montani Jr., RPH
• Jeffrey Montgomery, OD
• Patrick Montgomery, D.C.
• Bayli Mooney, DPT
• Jamie Moore
• Laura Irene Moore, M.D.

• Speech-Language Pathologist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.