Healthcare Provider Details

I. General information

NPI: 1982860326
Provider Name (Legal Business Name): MELISSA RAE MONSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2008
Last Update Date: 01/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5225 WISCONSIN AVE NW SUITE 400
WASHINGTON DC
20015-2014
US

IV. Provider business mailing address

16904 HOSKINSON RD
POOLESVILLE MD
20837-2281
US

V. Phone/Fax

Practice location:
  • Phone: 202-363-1010
  • Fax:
Mailing address:
  • Phone: 202-320-5226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD038287
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: