MEDICARE: DR. MONICA NG PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY1743	HI
2	103T00000X	Psychologist	PSY15760	CA
3	103TC0700X	Clinical Psychologist	PY61187351	WA
4	103TC0700X	Clinical Psychologist	PSY15760	CA
5	103TC0700X	Clinical Psychologist	PSY0003787	CO

General Provider Information

NPI Number	:	1083692016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONICA NG PSY.D.

Provider Business Mailing Address
First Line	:	10030 GARRISON ST
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80021-3894
Country	:	US
Telephone Number	:	818-621-8823
Fax Number	:	844-657-9597

Provider Business Practice Location Address
First Line	:	10030 GARRISON ST
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80021-3894
Country	:	US
Telephone Number	:	818-621-8823
Fax Number	:	844-657-9597

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	06/17/2022

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