Individual
DOMINIQUE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3608 MANHATTAN AVE, MANHATTAN BEACH, CA 90266-3234
(310) 564-6170
Mailing address
1007 N SEPULVEDA BLVD UNIT 212, MANHATTAN BEACH, CA 90267-8208
(310) 564-6170
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32743
CA
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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