Provider Demographics
NPI:1326350943
Name:MONTGOMERY, WENDY LUCILLE (AUD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:LUCILLE
Last Name:MONTGOMERY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9222 N NEWPORT HWY STE D
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1235
Mailing Address - Country:US
Mailing Address - Phone:509-842-7382
Mailing Address - Fax:509-319-2511
Practice Address - Street 1:9222 N NEWPORT HWY STE D
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1235
Practice Address - Country:US
Practice Address - Phone:509-842-7382
Practice Address - Fax:509-319-2511
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-12
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD2682231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist