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Contact Information

GRETCHEN C DOMINIAK, PSYD
20 WEST PARK ST
SUITES 416 219
LEBANON, NH03766
 Phone: 603-448-1101
 Fax: 603-448-8249
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GRETCHEN C DOMINIAK · (Female)

NPI # 1609911551
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 02/20/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 1085
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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