Lookup NPI Numbers from the NPI Registry
NPI Profile for Dr EUGENE DOMENICO in LOCKPORT, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI Number | 1679608103 |
|
| Status | Active | |
| Credentials | PHD LCSW | |
| Entity | Individual | |
| Enumeration date | 02/23/2007 | |
| Last updated | 12/16/2009 - About 16 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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EUGENE DOMENICO
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EUGENE DOMENICO, PHD LCSW