Walkowiak, Dominique Marie
Walkowiak, Dominique Marie is an sole proprietor health care provider with primary practice located at 2780 Delaware Ave , Kenmore NY 14217-2748. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Walkowiak, Dominique Marie can be contacted via phone (716) 931-9037.Contact Information
Primary practice address
2780 Delaware Ave
Kenmore NY 14217-2748
Phone: (716) 931-9037
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 007368 | New York |
Profile Details
NPI number | 1285938019 |
---|---|
LBN Legal business name | Walkowiak, Dominique Marie |
Credentials | LMHC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 9th, 2011 |
Last updated | Aug 26th, 2020 - about 4 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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