Provider Demographics
NPI:1407805443
Name:MONACO, JULIE ANN (PSYD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANN
Last Name:MONACO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8119 MOCCASIN TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-8856
Mailing Address - Country:US
Mailing Address - Phone:813-671-5735
Mailing Address - Fax:813-741-3480
Practice Address - Street 1:8119 MOCCASIN TRAIL DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33569-8856
Practice Address - Country:US
Practice Address - Phone:813-671-5735
Practice Address - Fax:813-741-3480
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7274103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical