Provider Demographics
NPI:1730590340
Name:SARDO, MONICA
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:SARDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35999 ITHACA DR
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-1885
Mailing Address - Country:US
Mailing Address - Phone:440-353-1125
Mailing Address - Fax:
Practice Address - Street 1:5700 JAYCOX RD
Practice Address - Street 2:
Practice Address - City:NORTH RIDGEVILLE
Practice Address - State:OH
Practice Address - Zip Code:44039-1439
Practice Address - Country:US
Practice Address - Phone:440-353-1125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist