Provider Demographics
NPI:1932378262
Name:MONTE, DANIEL A
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:A
Last Name:MONTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 E THUNDERBIRD RD
Mailing Address - Street 2:UNIT 1074
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-5770
Mailing Address - Country:US
Mailing Address - Phone:602-616-4686
Mailing Address - Fax:
Practice Address - Street 1:9401 S 51ST AVE
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-2710
Practice Address - Country:US
Practice Address - Phone:602-616-4686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2008-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool