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NPI Code Detail

MEDICARE: MRS. ROZELL VERONICA MONTGOMERY

MEDICARE: MRS. ROZELL VERONICA MONTGOMERY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistAMFT157751CA
2101YM0800XMental Health CounselorAMFT115128CA

General Provider Information

NPI Number : 1770788945
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROZELL VERONICA MONTGOMERY
Provider Business Mailing Address
First Line : 525 W AVENUE P4
Second Line :
City : PALMDALE
State : CA
Zip : 93551-3743
Country : US
Telephone Number : 213-595-1096
Fax Number :
Provider Business Practice Location Address
First Line : 525 W AVENUE P4
Second Line :
City : PALMDALE
State : CA
Zip : 93551-3743
Country : US
Telephone Number : 213-595-1096
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2007
Last Update Date : 09/09/2025

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