Individual
DR. MICHAEL E. DOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(518) 557-3493
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(518) 557-3493
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
017941
NY
103TC0700X
Clinical Psychologist
Primary
017941
NY
Other
Enumeration date
09/15/2009
Last updated
03/26/2025
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