MEDICARE: DR. CATARINA MONGE 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	0810004134	VA

General Provider Information

NPI Number	:	1861653065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATARINA MONGE PSY.D.

Provider Business Mailing Address
First Line	:	804 MOOREFIELD PARK DR STE 204
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-3670
Country	:	US
Telephone Number	:	703-489-7270
Fax Number	:

Provider Business Practice Location Address
First Line	:	804 MOOREFIELD PARK DR STE 204
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-3670
Country	:	US
Telephone Number	:	703-489-7280
Fax Number	:

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

Provider Enumeration Date	:	06/19/2008
Last Update Date	:	05/22/2024

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