Domar, Alice Diane
Domar, Alice Diane is an individual health care provider with primary practice located at 130 2Nd Ave Boston Ivf - Domar Center, Waltham MA 02451-1100. She recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Cognitive & Behavioral is her primary health care specialty. Domar, Alice Diane can be contacted via phone (781) 434-6578.Contact Information
Primary practice address
130 2Nd Ave Boston Ivf - Domar Center
Waltham MA 02451-1100
Phone: (781) 434-6578
Fax: (781) 370-2330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 4308 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4308 | Massachusetts |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 4308 | Massachusetts |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 4308 | Massachusetts |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 4308 | Massachusetts |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 4308 | Massachusetts |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 4308 | Massachusetts |
Profile Details
| NPI number | 1417902099 |
|---|---|
| LBN Legal business name | Domar, Alice Diane |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Sep 1st, 2009 - about 15 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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