MEDICARE: JUDITH MONTERO PSYD

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
1	103TC0700X	Clinical Psychologist	NA	FL

General Provider Information

NPI Number	:	1447190772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH MONTERO PSYD

Provider Business Mailing Address
First Line	:	13800 NW 22ND ST
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33323-5302
Country	:	US
Telephone Number	:	786-417-6436
Fax Number	:

Provider Business Practice Location Address
First Line	:	7369 SHERIDAN ST STE 202
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-2776
Country	:	US
Telephone Number	:	786-417-6436
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

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