Provider Demographics
NPI:1417742859
Name:MONK, MAILE MARIA (PHD, NCSP)
Entity type:Individual
Prefix:DR
First Name:MAILE
Middle Name:MARIA
Last Name:MONK
Suffix:
Gender:
Credentials:PHD, NCSP
Other - Prefix:DR
Other - First Name:MAILE
Other - Middle Name:MARIA
Other - Last Name:BLASHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:8136 LOCUST DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80125-9109
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8136 LOCUST DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80125-9109
Practice Address - Country:US
Practice Address - Phone:303-915-3453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5166103T00000X
CO17124466103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103T00000XBehavioral Health & Social Service ProvidersPsychologist