Frederick, Monica Michiels
Frederick, Monica Michiels is an individual health care provider with primary practice located at 11201 Benton St 116 (A), Loma Linda CA 92357-1000. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Frederick, Monica Michiels can be contacted via phone (909) 825-7084.Contact Information
Primary practice address
11201 Benton St 116 (A)
Loma Linda CA 92357-1000
Phone: (909) 825-7084
Fax: (909) 777-3226
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY22313 | California |
Profile Details
NPI number | 1386762607 |
---|---|
LBN Legal business name | Frederick, Monica Michiels |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 26th, 2007 |
Last updated | Apr 25th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386762607 | NPPES |
California | Other | PSY22313 | CALIFORNIA BOARD OF PSYCHOLOGY |
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