# MARIA M SZPYT-DOMANSKA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629054168
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | C53830 | CA | Yes |

## Other

- **Enumeration date:** 12/16/2005
- **Last updated:** 01/09/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1629054168 | NPI | CA |
| 05 | — | 209385301 | — | MO |
| 01 | — | C53830 | CALIFORNIA MEDICAL LICENSE \# | CA |