Doctor Name: | MS. ROBIN MONK |
NPI Number: | 1407184500 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | MH10103 |
Business Practice Address: | 3192 County Road 521b Wildwood, FL - 347858096 |
Business Phone Number: | 3527488028 |
Business Fax Number: | |
Mailing Address: | 3192 County Road 521b, WILDWOOD |
State: | FL |
Postal Code: | 347858096 |
Phone Number: | 3527488028 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2009 |
NPI Last Update Date: | 12/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH10103 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |