Individual
DOMINGA NEEDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2105 MARTIN LUTHER KING JR WAY FL 1, BERKELEY, CA 94704-1108
(885) 888-8995
(510) 756-0812
Mailing address
2105 MARTIN LUTHER KING JR WAY FL 1, BERKELEY, CA 94704-1108
(888) 588-8995
(510) 756-0812
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
95030432
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95030432
CA
Other
Enumeration date
02/23/2021
Last updated
05/19/2025
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