Provider Demographics
NPI:1306968094
Name:MONTALTO, GERRY V (MA,CCC,SLP)
Entity type:Individual
Prefix:MR
First Name:GERRY
Middle Name:V
Last Name:MONTALTO
Suffix:
Gender:M
Credentials:MA,CCC,SLP
Other - Prefix:MR
Other - First Name:GERRY
Other - Middle Name:V
Other - Last Name:MONTALTO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA,CCC,SLP
Mailing Address - Street 1:5563 WINDING CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77017-6715
Mailing Address - Country:US
Mailing Address - Phone:832-771-6603
Mailing Address - Fax:713-738-0339
Practice Address - Street 1:5563 WINDING CREEK WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-6715
Practice Address - Country:US
Practice Address - Phone:832-771-6603
Practice Address - Fax:713-378-0339
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16108235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist