Doctor Name: | DR. MONICA ELIZABETH BOCANEGRA |
NPI Number: | 1023342219 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | B1-0000825 |
Business Practice Address: | 710 Yorklyn Rd Hockessin, DE - 197078747 |
Business Phone Number: | 3022395255 |
Business Fax Number: | 3022395531 |
Mailing Address: | 3305 Skyline Dr, WILMINGTON |
State: | DE |
Postal Code: | 198082712 |
Phone Number: | 3053108259 |
Fax Number: | 3022395531 |
NPI Enumeration Date: | 09/22/2009 |
NPI Last Update Date: | 09/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | B1-0000825 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |