Healthcare Provider Details

I. General information

NPI: 1275062267
Provider Name (Legal Business Name): MONICA ALVAREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2017
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 W ROOSEVELT BLVD STE C
MONROE NC
28110-3788
US

IV. Provider business mailing address

9120 LIBERTY HILL DR
MINT HILL NC
28227-2006
US

V. Phone/Fax

Practice location:
  • Phone: 980-422-5887
  • Fax: 980-225-0025
Mailing address:
  • Phone: 336-406-7709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number8726
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: