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NPI Code Detail

MEDICARE: DR. MONIKA LYNNE POXON PSY.D.

MEDICARE: DR. MONIKA LYNNE POXON 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
1103TC0700XClinical PsychologistPSY 18758CA

General Provider Information

NPI Number : 1942360110
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MONIKA LYNNE POXON PSY.D.
Provider Business Mailing Address
First Line : PO BOX 20023
Second Line :
City : OAKLAND
State : CA
Zip : 94620-0023
Country : US
Telephone Number : 510-251-3978
Fax Number : 510-251-3954
Provider Business Practice Location Address
First Line : 1410 BONITA AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94709-1909
Country : US
Telephone Number : 510-526-4765
Fax Number : 510-526-2887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 12/09/2025

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