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Contact Information

ANISSA DOMINGUEZ
100 N PARK RD APT 1263
WYOMISSING, PA19610-3058
 Phone: 410-693-7747
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for ANISSA DOMINGUEZ · (Female)

NPI Number 1013406149
Status Active
Credentials
Entity Individual
Enumeration date 05/03/2018
Last updated 05/03/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • Other A00122095 USAA
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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