Individual
DR. MARK CALVIN MONAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1562 MITSCHER AVE, STE 250, NORFOLK, VA 23551-2487
(757) 836-5538
Mailing address
727 DISSDALE LN, CHESAPEAKE, VA 23320-6862
(757) 410-0525
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 463
HI
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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