Healthcare Provider Details

I. General information

NPI: 1831430065
Provider Name (Legal Business Name): DR ANN MONIS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2013
Last Update Date: 03/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3349 N UNIVERSITY DR SUITE 4
HOLLYWOOD FL
33024-9000
US

IV. Provider business mailing address

3349 N UNIVERSITY DR SUITE 4
HOLLYWOOD FL
33024-9000
US

V. Phone/Fax

Practice location:
  • Phone: 954-885-9500
  • Fax: 954-885-9444
Mailing address:
  • Phone: 954-885-9500
  • Fax: 954-885-9444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPY8405
License Number StateFL

VIII. Authorized Official

Name: DR. ANN MONIS
Title or Position: PRESIDENT
Credential: PSY.D.
Phone: 954-885-9500