Domenech, Diana Teresa

Domenech, Diana Teresa is an sole proprietor health care provider with primary practice located at Mo17 Paseo Del Valle , Bayamon PR 00961-3539. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Domenech, Diana Teresa can be contacted via phone (787) 467-8878.

Contact Information

Primary practice address
Mo17 Paseo Del Valle Bayamon PR 00961-3539
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 5920 Puerto Rico

Profile Details

NPI number 1922516004
LBN Legal business name Domenech, Diana Teresa
Credentials PSIC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2018
Last updated Jan 11th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922516004 NPPES
Puerto Rico Other 5920 PSIC NUMBER

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