Provider Demographics
NPI:1306022058
Name:MONGIA, SHALINI
Entity Type:Individual
Prefix:MS
First Name:SHALINI
Middle Name:
Last Name:MONGIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3189 DANVILLE BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:CA
Mailing Address - Zip Code:94507-1993
Mailing Address - Country:US
Mailing Address - Phone:925-830-7900
Mailing Address - Fax:
Practice Address - Street 1:3189 DANVILLE BLVD STE 250
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:CA
Practice Address - Zip Code:94507-1993
Practice Address - Country:US
Practice Address - Phone:925-830-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist