Montgomery Psychiatry & Associates, LLC

Contacts

Phone	+1 334-288-9009
Fax	3342889497

Authorized person

Name	TERESA DUFFEY
Role	OFFICE MANAGER
Phone	3342889009

Taxonomy

Taxonomy Code	2084P0800X - Psychiatry Physician
Is Primary	Yes

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1993-01-01
Business code	621112
Sponsor’s telephone number	3342889913
Plan sponsor’s address	9700 WYNCHASE CIRCLE, MONTGOMERY, AL, 36117

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1993-01-01
Business code	621112
Sponsor’s telephone number	3342889913
Plan sponsor’s address	9700 WYNCHASE CIRCLE, MONTGOMERY, AL, 36117

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1993-01-01
Business code	621112
Sponsor’s telephone number	3342889913
Plan sponsor’s address	1040 LONGFIELD COURT, MONTGOMERY, AL, 36117

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1993-01-01
Business code	621112
Sponsor’s telephone number	3342889913
Plan sponsor’s address	1040 LONGFIELD COURT, MONTGOMERY, AL, 36117

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1993-01-01
Business code	621112
Sponsor’s telephone number	3342889913
Plan sponsor’s address	1040 LONGFIELD COURT, MONTGOMERY, AL, 36117

Signature of

Role	Plan administrator
Date	2019-04-11
Name of individual signing	WILLIAM FREEMAN
Role	Employer/plan sponsor
Date	2019-04-11
Name of individual signing	WILLIAM FREEMAN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1993-01-01
Business code	621112
Sponsor’s telephone number	3342889913
Plan sponsor’s address	1040 LONGFIELD COURT, MONTGOMERY, AL, 36117

Signature of

Role	Plan administrator
Date	2018-06-21
Name of individual signing	WILLIAM FREEMAN
Role	Employer/plan sponsor
Date	2018-06-21
Name of individual signing	WILLIAM FREEMAN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1993-01-01
Business code	621112
Sponsor’s telephone number	3342889913
Plan sponsor’s address	1040 LONGFIELD COURT, MONTGOMERY, AL, 36117

Signature of

Role	Plan administrator
Date	2017-04-26
Name of individual signing	WILLIAM FREEMAN
Role	Employer/plan sponsor
Date	2017-04-26
Name of individual signing	WILLIAM FREEMAN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1993-01-01
Business code	621112
Sponsor’s telephone number	3342889913
Plan sponsor’s address	1040 LONGFIELD COURT, MONTGOMERY, AL, 36117

Signature of

Role	Plan administrator
Date	2016-06-14
Name of individual signing	WILLIAM FREEMAN
Role	Employer/plan sponsor
Date	2016-06-14
Name of individual signing	WILLIAM FREEMAN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1993-01-01
Business code	621112
Sponsor’s telephone number	3342889913
Plan sponsor’s address	1040 LONGFIELD COURT, MONTGOMERY, AL, 36117

Signature of

Role	Plan administrator
Date	2015-05-13
Name of individual signing	DAVID D. HARWOOD
Role	Employer/plan sponsor
Date	2015-05-13
Name of individual signing	DAVID D. HARWOOD

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1993-01-01
Business code	621112
Sponsor’s telephone number	3342889913
Plan sponsor’s address	1040 LONGFIELD COURT, MONTGOMERY, AL, 36117

Signature of

Role	Plan administrator
Date	2014-06-03
Name of individual signing	DAVID HARWOOD
Role	Employer/plan sponsor
Date	2014-06-03
Name of individual signing	DAVID HARWOOD