Individual
DR. PAULA LEE DOMENICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11300 ROCKVILLE PIKE, SUITE 602, ROCKVILLE, MD 20852-3003
(301) 816-4756
Mailing address
1278 LAMPLIGHTER WAY, RESTON, VA 20194
(202) 378-8804
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
04206
MD
103T00000X
Psychologist
Primary
0810005899
VA
103T00000X
Psychologist
PSY-19371
CA
103TC1900X
Counseling Psychologist
04206
MD
Other
Enumeration date
12/18/2006
Last updated
01/06/2020
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