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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMENICA M KNUDSEN

Active Sole Proprietor

DOMENICA M KNUDSEN is a Clinical Psychologist healthcare provider located in MEDIA, Pennsylvania. NPI 1336109230 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · MEDIA, PA

Registration Details

NPI Number
1336109230
Provider Type
Individual
Gender
Female
NPI Issued
Mar 24, 2006 (20.366136539657 yrs)
Last Updated
Jun 7, 2011
Licenses
PS008547L (PA)
B1-0000679 (DE)
Sole Proprietor
Yes

Practice Information

Address
280 N PROVIDENCE RD
MEDIA, PA, 190633527
Browse PA providers · Browse ZIP 19063
Phone
6105656843
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in MEDIA, PA

Name Credential NPI
DR. RICHARD E CALHOUN PH.D. 1043209588
DR. JERRY M LAZAROFF PH.D. 1730169343
DR. SUSANNA ANGELICA LACK PSY.D. 1255311718
DR. JULIA L. MAYER PSY.D. 1245203413
MR. PATRICK J MCHUGH PHD 1780645747
DR. JOSEPH A MICUCCI PH.D., ABPP 1326098344
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.