Individual
JANINE DOMINGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
445 PARK AVE, NEW YORK, NY 10022-2606
(973) 224-1059
Mailing address
101 EAST 56TH STREET, NEW YORK, NY 10022
(646) 625-4277
(646) 625-4348
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021024
NY
Other
Enumeration date
01/13/2015
Last updated
07/02/2018
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