Provider Demographics
NPI:1538299532
Name:ROBB, MONICA ANNETTE (PHD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:ANNETTE
Last Name:ROBB
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 1:2121 EISENHOWER AVE STE 222
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4698
Mailing Address - Country:US
Mailing Address - Phone:703-944-0422
Mailing Address - Fax:
Practice Address - Street 1:2121 EISENHOWER AVE STE 222
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4698
Practice Address - Country:US
Practice Address - Phone:703-944-0422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2020-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04378103T00000X
DCPSY1000288103T00000X
VA0810003513103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist