Individual
KATRINA DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
710 S BROADWAY, SUITE #209, WALNUT CREEK, CA 94596-5294
(925) 295-4901
Mailing address
710 S BROADWAY, SUITE #209, WALNUT CREEK, CA 94596-5294
(925) 295-4901
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
26237
CA
Other
Enumeration date
09/01/2010
Last updated
01/03/2022
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