Healthcare Provider Details

I. General information

NPI: 1356205520
Provider Name (Legal Business Name): KAREN MONTGOMERY PH.D., M.ED., NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2540 MONROEVILLE BLVD
MONROEVILLE PA
15146-2329
US

IV. Provider business mailing address

3008 LIMBA DR
LOWER BURRELL PA
15068-2607
US

V. Phone/Fax

Practice location:
  • Phone: 412-206-1411
  • Fax:
Mailing address:
  • Phone: 724-980-1560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberAPC001974
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: