Provider Demographics
NPI:1629501846
Name:NUON, MONIKA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MONIKA
Middle Name:
Last Name:NUON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5904 RIO VISTA DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-3533
Mailing Address - Country:US
Mailing Address - Phone:251-656-8010
Mailing Address - Fax:
Practice Address - Street 1:5904 RIO VISTA DR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36693-3533
Practice Address - Country:US
Practice Address - Phone:251-656-8010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3918235Z00000X
MSS4201235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist