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NPI Code Detail

MEDICARE: CHRISTINE S. MONINGHOFF, D.B.H., PLLC

MEDICARE: CHRISTINE S. MONINGHOFF, D.B.H., PLLC
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 Psychologist

General Provider Information

NPI Number : 1639718125
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTINE S. MONINGHOFF, D.B.H., PLLC
Provider Business Mailing Address
First Line : 3890 W ANN RD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-4416
Country : US
Telephone Number : 702-283-9103
Fax Number : 855-790-7046
Provider Business Practice Location Address
First Line : 3890 W ANN RD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-4416
Country : US
Telephone Number : 702-283-9103
Fax Number : 855-790-7046
Authorized Official
Title or Position : LICENSED PSYCHOLOGIST
Name : DR. CHRISTINE S MONINGHOFF
Credential : DBH
Telephone Number : 702-283-9103
Provider Enumeration Date : 12/31/2019
Last Update Date : 12/31/2019

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