Provider Demographics
NPI:1366721656
Name:MONTOYA, KATHLEEN JULIA (BS SLHS)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:JULIA
Last Name:MONTOYA
Suffix:
Gender:F
Credentials:BS SLHS
Other - Prefix:
Other - First Name:KAT
Other - Middle Name:
Other - Last Name:MONTOYA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BS SLHS
Mailing Address - Street 1:509 VENETIAN WAY
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46901-6710
Mailing Address - Country:US
Mailing Address - Phone:765-437-9578
Mailing Address - Fax:
Practice Address - Street 1:9909 E 100 S
Practice Address - Street 2:
Practice Address - City:GREENTOWN
Practice Address - State:IN
Practice Address - Zip Code:46936-9163
Practice Address - Country:US
Practice Address - Phone:765-628-0605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant