Individual
DR. DANIELA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
245 KENTUCKY ST STE E, PETALUMA, CA 94952-2877
(415) 212-9064
Mailing address
132 MARINERO CIR, BELVEDERE TIBURON, CA 94920-1627
(415) 212-9064
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
29367
CA
Other
Enumeration date
10/24/2022
Last updated
10/03/2024
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