Domino, Jessica
Domino, Jessica is an individual health care provider with primary practice located at 2200 Fort Roots Dr # 116B , North Little Rock AR 72114-1709. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Domino, Jessica can be contacted via phone (501) 257-3481.Contact Information
Primary practice address
2200 Fort Roots Dr # 116B
North Little Rock AR 72114-1709
Phone: (501) 257-3481
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY.0004502 | Colorado |
Profile Details
| NPI number | 1518414010 |
|---|---|
| LBN Legal business name | Domino, Jessica |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2016 |
| Last updated | Jul 20th, 2020 - about 5 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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