MEDICARE: DR. DANA LYNN MONROE 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	103T00000X	Psychologist
2	103TC0700X	Clinical Psychologist	PSY.0003556	CO

General Provider Information

NPI Number	:	1285936633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANA LYNN MONROE PSY.D.

Provider Business Mailing Address
First Line	:	2750 ELK PARK RD
Second Line	:
City	:	LARKSPUR
State	:	CO
Zip	:	80118-6613
Country	:	US
Telephone Number	:	303-548-4236
Fax Number	:

Provider Business Practice Location Address
First Line	:	1820 W COLORADO AVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80904-3837
Country	:	US
Telephone Number	:	303-548-4236
Fax Number	:	888-505-5816

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

Provider Enumeration Date	:	11/17/2010
Last Update Date	:	12/08/2025

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