Provider Demographics
NPI:1639718125
Name:CHRISTINE S. MONINGHOFF, D.B.H., PLLC
Entity Type:Organization
Organization Name:CHRISTINE S. MONINGHOFF, D.B.H., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:S
Authorized Official - Last Name:MONINGHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DBH
Authorized Official - Phone:702-283-9103
Mailing Address - Street 1:3890 W ANN RD
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-4416
Mailing Address - Country:US
Mailing Address - Phone:702-283-9103
Mailing Address - Fax:855-790-7046
Practice Address - Street 1:3890 W ANN RD
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-4416
Practice Address - Country:US
Practice Address - Phone:702-283-9103
Practice Address - Fax:855-790-7046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-31
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty