Individual
MONICA K MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-2400
Mailing address
3605 WARRENSVILLE CENTER RD, SHAKER HEIGHTS, OH 44122-5203
(216) 286-6260
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-039592
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224439
UNISON
OH
01
—
000000532979
ANTHEM
OH
05
—
0405592
—
OH
01
—
363790
WELLCARE MEDICAID
OH
01
—
4037791
AETNA
OH
01
—
P00281361
RAILROAD MEDICARE
OH
01
—
P00428934
MEDICARE RAILROAD
OH
Enumeration date
07/20/2006
Last updated
05/21/2008
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