Individual
MS. MICHELLE M. DOMOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.PSY
Contact information
Practice address
11 W 33RD ST, ERIE, PA 16508-2807
(814) 456-0846
Mailing address
11 W 33RD ST, ERIE, PA 16508-2807
(814) 456-0846
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS007436L
PA
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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