Alice Diane Domar
Psychologist Health Service Family Psychologist Clinical Psychologist and 3 more
130 2nd Ave Boston Ivf - Domar Center
Waltham
, Massachusetts 02451-1100
Alice Diane Domar
Psychologist Health Service Family Psychologist Clinical Psychologist and 3 more
130 2nd Ave Boston Ivf - Domar Center
Waltham
, Massachusetts 02451-1100
(781) 370-2330
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About
Features
Specialties
- Psychologist
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Counseling Psychologist
- Family Psychologist
- Health Service
- Group Psychotherapist
Languages spoken
- English
Location
First Address
- Alice Diane Domar
- 130 2nd Ave Boston Ivf - Domar Center
- Waltham, MA
- Zip : 02451-1100
- Fax : (781) 370-2330
- Phone : (781) 434-6578
Second Address
- Alice Diane Domar
- 130 2nd Ave Boston Ivf - Domar Center
- Waltham, MA
- Zip : 02451-1100
- Fax : (781) 370-2330
- Phone : (781) 434-6578
Reviews
FAQs
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What is Alice Diane Domar ’s NPI number?
Does Alice Diane Domar have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | 4308 | MA |
| N | 103T00000X | Psychologist | 4308 | MA |
| Y | 103TB0200X | Cognitive & Behavioral Psychologist | 4308 | MA |
| N | 103G00000X | Clinical Psychologist | 4308 | MA |
| N | 103TC0700X | Clinical Psychologist | 4308 | MA |
| N | 103TC1900X | Counseling Psychologist | 4308 | MA |
| N | 103TF0000X | Family Psychologist | 4308 | MA |
| N | 103TH0100X | Health Service | 4308 | MA |
| N | 103TP2701X | Group Psychotherapist | 4308 | MA |
National Provider Identifier
| NPI | 1417902099 |
|---|---|
| Provider Name | Alice Diane Domar |
| First Address | Waltham, MA 02451-1100 |
| Second Address | Waltham, MA 02451-1100 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2006 |
| Last Update Date | 01/09/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E23404 | (02) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.