Provider Demographics
NPI:1083838270
Name:MONICA, LUCINDA M (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LUCINDA
Middle Name:M
Last Name:MONICA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:LUCINDA
Other - Middle Name:M
Other - Last Name:SEARES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:90 WEST MAIN ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728
Mailing Address - Country:US
Mailing Address - Phone:732-431-1869
Mailing Address - Fax:732-308-9847
Practice Address - Street 1:90 WEST MAIN ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728
Practice Address - Country:US
Practice Address - Phone:732-431-1869
Practice Address - Fax:732-308-9847
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ02484103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
53761060OtherAETNA
105390OtherMANAGED HEALTH NETWORK
0944213OtherAETNA HMO
129240000OtherMAGELLAN
621675Medicare ID - Type Unspecified