Individual
DR. CECILIA M DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
2101 NE 139TH ST STE 265, VANCOUVER, WA 98686-2311
(360) 487-2700
(360) 487-2701
Mailing address
2209 E 2ND ST APT 6, LOS ANGELES, CA 90033-3960
(415) 515-7364
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2673
OR
103TC0700X
Clinical Psychologist
Primary
PY60666459
WA
Other
Enumeration date
03/11/2009
Last updated
05/15/2019
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