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NPI Code Detail

MEDICARE: MRS. JUDITH LYNN MONETATHCHI MFTI

MEDICARE:  MRS. JUDITH LYNN MONETATHCHI  MFTI
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
1106H00000XMarriage & Family TherapistIMF 64814CA

General Provider Information

NPI Number : 1760783138
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JUDITH LYNN MONETATHCHI MFTI
Provider Business Mailing Address
First Line : 69601 CIMARRON COURT RD
Second Line :
City : CATHEDRAL CITY
State : CA
Zip : 92234-4926
Country : US
Telephone Number : 760-770-0427
Fax Number :
Provider Business Practice Location Address
First Line : 490 S FARRELL DR
Second Line : SUITE C 208
City : PALM SPRINGS
State : CA
Zip : 92262-7992
Country : US
Telephone Number : 760-325-4088
Fax Number : 760-778-3781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2010
Last Update Date : 11/18/2015

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Directions to “ MRS. JUDITH LYNN MONETATHCHI MFTI” Practice Location

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