Provider Demographics
NPI:1366073975
Name:WU, MONICA S (PHD)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:S
Last Name:WU
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 1:2006 N SEPULVEDA BLVD
Mailing Address - Street 2:#1021
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266
Mailing Address - Country:US
Mailing Address - Phone:313-509-7399
Mailing Address - Fax:
Practice Address - Street 1:2006 N SEPULVEDA BLVD # 1021
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-2725
Practice Address - Country:US
Practice Address - Phone:313-509-7399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-01
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY31561103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical