Provider Demographics
NPI:1053559708
Name:MONSON, DAVID PETER (PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:PETER
Last Name:MONSON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2633A PARKMONT LN SW
Mailing Address - Street 2:STE F
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-1167
Mailing Address - Country:US
Mailing Address - Phone:360-870-8744
Mailing Address - Fax:360-996-4282
Practice Address - Street 1:2633A PARKMONT LN SW
Practice Address - Street 2:STE F
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-1167
Practice Address - Country:US
Practice Address - Phone:360-870-8744
Practice Address - Fax:360-352-3289
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY 00001768103T00000X, 103TB0200X, 103TC0700X, 103TC1900X, 103TC2200X, 103TF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily