Provider Demographics
NPI:1578694865
Name:DUMONT, MONICA JEAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:JEAN
Last Name:DUMONT
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 1:1650 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-5151
Mailing Address - Country:US
Mailing Address - Phone:714-262-3603
Mailing Address - Fax:714-835-9190
Practice Address - Street 1:1650 E 4TH ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-5151
Practice Address - Country:US
Practice Address - Phone:714-262-3603
Practice Address - Fax:714-835-9190
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY21045103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical