Gomez, Monique M
Gomez, Monique M is an sole proprietor health care provider with primary practice located at 9030 S Mcclintock Dr Ste 105 , Tempe AZ 85284-4553. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Gomez, Monique M can be contacted via phone (480) 427-7883.Contact Information
Primary practice address
9030 S Mcclintock Dr Ste 105
Tempe AZ 85284-4553
Phone: (480) 427-7883
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LMSW-16886 | Arizona |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT-14892 | Arizona |
Profile Details
| NPI number | 1508467200 |
|---|---|
| LBN Legal business name | Gomez, Monique M |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2020 |
| Last updated | Mar 4th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508467200 | NPPES |
| Arizona | Other | 14892 | LICENSED MASSAGE THERAPIST |
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