Individual
DR. ALAN CHARLES DOMIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4200 SOMERSET DR, SUITE 254, PRAIRIE VILLAGE, KS 66208-5217
(913) 381-1810
(913) 381-1836
Mailing address
4200 SOMERSET DR, SUITE 254, PRAIRIE VILLAGE, KS 66208-5217
(913) 381-1810
(913) 381-1836
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
752
KS
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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