Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PY0711 | NV |
N | 103T00000X | Psychologist | PY0711 | NV |
N | 103TA0700X | Adult Development & Aging Psychologist | PY0711 | NV |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PY0711 | NV |
Y | 103G00000X | Clinical Psychologist | PY0711 | NV |
Y | 103TC0700X | Clinical Psychologist | PY0711 | NV |
N | 103TC1900X | Counseling Psychologist | PY0711 | NV |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PY0711 | NV |
N | 103TF0000X | Family Psychologist | PY0711 | NV |
N | 103TH0004X | Health Psychologist | PY0711 | NV |
N | 103TH0100X | Health Service | PY0711 | NV |
N | 103TM1800X | Intellectual & Developmental Disabilities | PY0711 | NV |
NPI | 1487058350 |
---|---|
Provider Name | Dr. Christine S Moninghoff |
First Address | North Las Vegas, NV 89031-4416 |
Second Address | North Las Vegas, NV 89031-4416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2014 |
Last Update Date | 26/07/2019 |