Individual
DR. DOMINIC LORENZO GALVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
5190 NW 167TH ST STE 215, MIAMI LAKES, FL 33014-6338
(305) 456-4147
Mailing address
4969 SW 136TH PL, MIAMI, FL 33175-5127
(305) 608-1677
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
60-1050
MS
103TF0200X
Forensic Psychologist
Primary
PY11477
FL
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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