Stillman, Dominique Denise

Stillman, Dominique Denise is an individual health care provider with primary practice located at 686 E Mariposa St , Altadena CA 91001-2349. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Stillman, Dominique Denise can be contacted via phone (626) 712-5655.

Contact Information

Primary practice address
686 E Mariposa St Altadena CA 91001-2349
Phone: (626) 712-5655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1124298039
LBN Legal business name Stillman, Dominique Denise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2008
Last updated Mar 6th, 2008 - 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.

Request for update

Popular Providers