Individual
MICHELLE RODRIGUEZ MONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 IMPERIAL AVE, SAN DIEGO, CA 92101-7638
(619) 645-6405
Mailing address
550 W DATE ST APT 606, SAN DIEGO, CA 92101-2762
(619) 900-4622
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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