Acacia, Dominique

Acacia, Dominique is an sole proprietor health care provider with primary practice located at 88 S Bergen Pl Apt D4 , Freeport NY 11520-3549. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Acacia, Dominique can be contacted via phone (718) 614-1014.

Contact Information

Primary practice address
88 S Bergen Pl Apt D4 Freeport NY 11520-3549
Phone: (718) 614-1014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1275305898
LBN Legal business name Acacia, Dominique
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2023
Last updated Dec 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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