Individual
KATHERINE ANN DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11455 STONECREEK DR, PICKERINGTON, OH 43147-8912
(614) 404-2134
Mailing address
11455 STONECREEK DR, PICKERINGTON, OH 43147-8912
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.11167
OH
Other
Enumeration date
01/27/2016
Last updated
10/26/2017
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