| Doctor Name: | DOUGLAS SPENCER MONSON |
| NPI Number: | 1104855527 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 004386 |
| Business Practice Address: | 2003 Se Walton Blvd Suite C Bentonville, AR - 727123725 |
| Business Phone Number: | 4794648081 |
| Business Fax Number: | 4794640674 |
| Mailing Address: | 4253 N Crossover Rd, FAYETTEVILLE |
| State: | AR |
| Postal Code: | 727034593 |
| Phone Number: | 4795215731 |
| Fax Number: | 4795214926 |
| NPI Enumeration Date: | 06/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 004386 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |