Provider Demographics
NPI:1164433967
Name:MONTEIRO, RITA CATHERINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:CATHERINE
Last Name:MONTEIRO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10326 MATADOR CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92124-1317
Mailing Address - Country:US
Mailing Address - Phone:858-694-0914
Mailing Address - Fax:
Practice Address - Street 1:3350 VIA LA JOLLA
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92161-0001
Practice Address - Country:US
Practice Address - Phone:619-400-5202
Practice Address - Fax:619-400-5154
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY11629103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical