Provider Demographics
NPI:1992982565
Name:STEWART, MONICA WOLFE (PHD)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:WOLFE
Last Name:STEWART
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 S CAPITAL OF TEXAS HWY STE B125
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-4818
Mailing Address - Country:US
Mailing Address - Phone:512-909-3023
Mailing Address - Fax:
Practice Address - Street 1:925 S CAPITAL OF TEXAS HWY STE B125
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-4818
Practice Address - Country:US
Practice Address - Phone:512-909-3023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-25
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33519103G00000X, 103TS0200X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103T00000XBehavioral Health & Social Service ProvidersPsychologist