Healthcare Provider Details

I. General information

NPI: 1578694865
Provider Name (Legal Business Name): MONICA JEAN DUMONT PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 N HARBOR BLVD STE 205
FULLERTON CA
92832-1901
US

IV. Provider business mailing address

305 N HARBOR BLVD STE 205
FULLERTON CA
92832-1901
US

V. Phone/Fax

Practice location:
  • Phone: 714-262-3603
  • Fax: 714-835-9190
Mailing address:
  • Phone: 714-262-3603
  • Fax: 714-835-9190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY21045
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: