Individual
DR. DOMINIC CANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., MSED, LPC
Contact information
Practice address
729 10TH ST APT 2E, SECAUCUS, NJ 07094-2924
(412) 780-0583
Mailing address
729 10TH ST APT 2E, SECAUCUS, NJ 07094-2924
(412) 780-0583
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00767400
NJ
Other
Enumeration date
07/31/2021
Last updated
07/31/2021
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