Provider Demographics
NPI:1558691808
Name:HONEYCUTT, MONICA S (DEM)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:S
Last Name:HONEYCUTT
Suffix:
Gender:F
Credentials:DEM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4829 DEERFIELD CT
Mailing Address - Street 2:
Mailing Address - City:MANTUA
Mailing Address - State:OH
Mailing Address - Zip Code:44255-8917
Mailing Address - Country:US
Mailing Address - Phone:330-274-8777
Mailing Address - Fax:
Practice Address - Street 1:4829 DEERFIELD CT
Practice Address - Street 2:
Practice Address - City:MANTUA
Practice Address - State:OH
Practice Address - Zip Code:44255-8917
Practice Address - Country:US
Practice Address - Phone:330-274-8777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-09
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay
No374J00000XNursing Service Related ProvidersDoula
No176B00000XOther Service ProvidersMidwife