Individual
DR. DOMINIC G LUCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., ED.D.
Contact information
Practice address
1824 EMPIRE INDUSTRIAL CT, SUITE 'C', SANTA ROSA, CA 95403-1991
(707) 548-3368
(707) 843-7639
Mailing address
1824 EMPIRE INDUSTRIAL CT, SUITE 'C', SANTA ROSA, CA 95403-1991
(707) 548-3368
(707) 843-7639
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSB94022435
CA
Other
Enumeration date
07/19/2016
Last updated
03/21/2017
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