Provider Demographics
NPI:1609060284
Name:INDART, MONICA JEANNE-MARIE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:JEANNE-MARIE
Last Name:INDART
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LENOX PL
Mailing Address - Street 2:SUITE C
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040
Mailing Address - Country:US
Mailing Address - Phone:973-762-6878
Mailing Address - Fax:973-761-1080
Practice Address - Street 1:ONE LENOX PLACE
Practice Address - Street 2:SUITE C
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040
Practice Address - Country:US
Practice Address - Phone:973-762-6878
Practice Address - Fax:973-761-1080
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100445000103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical