| Doctor Name: | DR. DAVID R MONROE |
| NPI Number: | 1104974245 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY D, LPC |
| License Number: | 6401000099 |
| Business Practice Address: | 26505 W Chicago Redford, MI - 482392228 |
| Business Phone Number: | 3139374673 |
| Business Fax Number: | |
| Mailing Address: | 26505 W Chicago, REDFORD |
| State: | MI |
| Postal Code: | 482392228 |
| Phone Number: | 3139374673 |
| Fax Number: | |
| NPI Enumeration Date: | 01/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401000099 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |