Monson, Douglas Spencer

Monson, Douglas Spencer is an individual health care provider with primary practice located at 2003 Se Walton Blvd Suite C, Bentonville AR 72712-3725. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Monson, Douglas Spencer can be contacted via phone (479) 464-8081.

Contact Information

Primary practice address
2003 Se Walton Blvd Suite C Bentonville AR 72712-3725
Phone: (479) 464-8081
Fax: (479) 464-0674
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1680-C Arkansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 004386 Missouri

Profile Details

NPI number 1104855527
LBN Legal business name Monson, Douglas Spencer
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104855527 NPPES
Arkansas Other 5S425 BLUE CROSS
Arkansas Other 205071 BLUE CROSS
Arkansas Other 06070012900 BLUE CROSS

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