Individual
MR. DOMINIC ANTHONY CANDIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
67 ETNA ROAD, SUITE 350, LEBANON, NH 03766
(603) 448-0055
(603) 727-9042
Mailing address
67 ETNA ROAD, SUITE 350, LEBANON, NH 03766
(603) 448-0055
(603) 727-9042
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
NH 1126
NH
103TC0700X
Clinical Psychologist
NY10699
NY
Other
Enumeration date
09/26/2005
Last updated
10/07/2016
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