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General NPI Number Information
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NPI Number | 1770206500
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Entity Type | Organization
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Legal Business Name | PINNACLE BEHAVIORAL HEALTH CATARINA MONGE, PSYD. LLC
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 804 MOOREFIELD PARK DR STE 204
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-3670
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Country | US
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Telephone | 703-489-7280
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Fax |
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Provider Business Mailing Address
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Address Line | 4107 EVERSHOT DR
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-4498
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Country | US
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Telephone | 703-489-7280
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/OWNER
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Name | DR. CATARINA MONGE
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Credential | PSYD
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Telephone | 703-489-7280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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