Dominic, Barbara

Dominic, Barbara is an sole proprietor health care provider with primary practice located at 165 Old Kings Highway , Orleans MA 02653. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dominic, Barbara can be contacted via phone (508) 247-9506.

Contact Information

Primary practice address
165 Old Kings Highway Orleans MA 02653
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 108023 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904002192 Virginia

Profile Details

NPI number 1629183892
LBN Legal business name Dominic, Barbara
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1629183892 NPPES
Massachusetts Other P08373 BLUE CROSS OF MA

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