Dominguez, Mark A.

Dominguez, Mark A. is an individual health care provider with primary practice located at 800 Catalpa Ave , Teaneck NJ 07666. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as his primary health care specialty. Dominguez, Mark A. can be contacted via phone (201) 641-5648.

Contact Information

Primary practice address
800 Catalpa Ave Teaneck NJ 07666
Phone: (201) 641-5648
Fax: (201) 440-8580
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X

Profile Details

NPI number 1831765320
LBN Legal business name Dominguez, Mark A.
Credentials MA. PSYA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2021
Last updated Jun 3rd, 2021 - about 3 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.

Request for update

Popular Providers