Dr. Samantha Domingo
Psychologist Cognitive & Behavioral Psychologist
3521 Nw Samaritan Dr Ste 201
Corvallis
, Oregon 97330-4744
Dr. Samantha Domingo
Psychologist Cognitive & Behavioral Psychologist
3521 Nw Samaritan Dr Ste 201
Corvallis
, Oregon 97330-4744
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About
Features
Specialties
- Psychologist
- Cognitive & Behavioral Psychologist
Languages spoken
- English
Location
First Address
- Dr. Samantha Domingo
- Po Box 1189
- Corvallis, OR
- Zip : 97339-1189
- Phone :
Second Address
- Dr. Samantha Domingo
- 3521 Nw Samaritan Dr Ste 201
- Corvallis, OR
- Zip : 97330-4744
- Phone : (541) 768-5140
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 2791 | OR |
| Y | 103T00000X | Psychologist | 2791 | OR |
| N | 103TB0200X | Cognitive & Behavioral Psychologist |
National Provider Identifier
| NPI | 1013336510 |
|---|---|
| Provider Name | Dr. Samantha Domingo |
| First Address | Corvallis, OR 97339-1189 |
| Second Address | Corvallis, OR 97330-4744 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2014 |
| Last Update Date | 06/11/2020 |
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.