Provider Demographics
NPI:1942445135
Name:HODGES, MONICA ROSE FLAHERTY (PHD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:ROSE FLAHERTY
Last Name:HODGES
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:PO BOX 41065
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90853-1065
Mailing Address - Country:US
Mailing Address - Phone:562-243-2085
Mailing Address - Fax:562-438-7577
Practice Address - Street 1:4281 KATELLA AVE
Practice Address - Street 2:129
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3500
Practice Address - Country:US
Practice Address - Phone:562-243-2085
Practice Address - Fax:562-438-7577
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21986103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical