Provider Demographics
NPI:1215158993
Name:VARGO-MONCIER, CARMEN LITA (PHD)
Entity type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:LITA
Last Name:VARGO-MONCIER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:161 MILL CREEK CROSSING
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758
Mailing Address - Country:US
Mailing Address - Phone:256-797-2456
Mailing Address - Fax:
Practice Address - Street 1:NORTH ALABAMA REGIONAL HOSPITAL
Practice Address - Street 2:4218 US HIGHWAY 31 SOUTH
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35603-5039
Practice Address - Country:US
Practice Address - Phone:256-560-2200
Practice Address - Fax:256-560-2307
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL735103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALR94207Medicare UPIN