Provider Demographics
NPI:1801779236
Name:MONTEIRO, JAYDA (DSW)
Entity type:Individual
Prefix:DR
First Name:JAYDA
Middle Name:
Last Name:MONTEIRO
Suffix:
Gender:F
Credentials:DSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 N VICKERY LN
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IN
Mailing Address - Zip Code:46952-3005
Mailing Address - Country:US
Mailing Address - Phone:765-603-3202
Mailing Address - Fax:
Practice Address - Street 1:1331 W 35TH ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IN
Practice Address - Zip Code:46953-3442
Practice Address - Country:US
Practice Address - Phone:765-573-5055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional