Individual
MISS LISANDRA M DOMINGUEZ I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1 CALLE RAMON GOMEZ S, HUMACAO, PR 00791-3939
(787) 547-4433
Mailing address
PO BOX 9023711, SAN JUAN, PR 00902-3711
(787) 993-3885
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7791
PR
Other
Enumeration date
10/26/2022
Last updated
01/02/2024
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