Domingue, Beth A

Domingue, Beth A is an sole proprietor health care provider with primary practice located at 9808 Venice Blvd Ste 700 , Culver City CA 90232-6824. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Domingue, Beth A can be contacted via phone (310) 945-3350.

Contact Information

Primary practice address
9808 Venice Blvd Ste 700 Culver City CA 90232-6824
Phone: (310) 945-3350
Fax: (310) 840-7023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 32872 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 85661 California

Profile Details

NPI number 1649504465
LBN Legal business name Domingue, Beth A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2009
Last updated Sep 10th, 2018 - about 7 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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