Individual
DR. LEANNE DOMASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
77 E 12TH ST, APT 19D, NEW YORK, NY 10003-5002
(212) 982-6672
Mailing address
77 E 12TH ST, APT 19D, NEW YORK, NY 10003-5002
(212) 982-6672
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4388
NY
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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