Individual
DR. ANDREA A MONGE NISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
300 MEDPARK DRIVE, SOMERSET, KY 42503
(606) 676-0786
Mailing address
300 MEDPARK DRIVE, SOMERSET, KY 42503
(606) 676-0786
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
173586
KY
103TC0700X
Clinical Psychologist
Primary
246762
KY
Other
Enumeration date
08/29/2013
Last updated
01/27/2026
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