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NPI Code Detail

MEDICARE: DR. MONICA JEAN DUMONT PH.D.

MEDICARE: DR. MONICA JEAN DUMONT PH.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
1103TC0700XClinical PsychologistPSY21045CA

General Provider Information

NPI Number : 1578694865
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MONICA JEAN DUMONT PH.D.
Provider Business Mailing Address
First Line : 1650 E 4TH ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92701-5151
Country : US
Telephone Number : 714-262-3603
Fax Number : 714-835-9190
Provider Business Practice Location Address
First Line : 1650 E 4TH ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92701-5151
Country : US
Telephone Number : 714-262-3603
Fax Number : 714-835-9190
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 11/08/2010

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