Provider Demographics
NPI:1174289011
Name:SAUNDERS MERCHANT, MONIQUE (PSYD)
Entity type:Individual
Prefix:DR
First Name:MONIQUE
Middle Name:
Last Name:SAUNDERS MERCHANT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:MONIQUE
Other - Middle Name:
Other - Last Name:MERCHANT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:31802 LILY ARBOR WAY
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33545-2239
Mailing Address - Country:US
Mailing Address - Phone:212-518-8310
Mailing Address - Fax:
Practice Address - Street 1:31802 LILY ARBOR WAY
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33545-2239
Practice Address - Country:US
Practice Address - Phone:212-518-8310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY10882103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist