Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANETTE LOUISE DOMINICK
Active Sole ProprietorSHANETTE LOUISE DOMINICK is a Counseling Psychologist healthcare provider located in YOUNGSVILLE, Louisiana. NPI 1285148551 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · YOUNGSVILLE, LA
Registration Details
- NPI Number
- 1285148551
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 25, 2017 (8.7379835633565 yrs)
- Last Updated
- Mar 22, 2024
- License
-
LSSP017 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
702 HIGHLAND VIEW DRYOUNGSVILLE, LA, 705926185Browse LA providers · Browse ZIP 70592
- Phone
- 3374529795
- Primary Specialty
-
Counseling Psychologist
103TC1900X
- Additional Specialty
- Counseling Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.