Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALICE DIANE DOMAR, PH.D.
ActiveALICE DIANE DOMAR, PH.D. is a Cognitive & Behavioral Psychologist healthcare provider located in WALTHAM, Massachusetts. NPI 1417902099 is currently active in the NPPES registry. Verify at CMS.
Cognitive & Behavioral Psychologist · WALTHAM, MA
Registration Details
- NPI Number
- 1417902099
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2006 (20.083806951055 yrs)
- Last Updated
- Sep 1, 2009
- Licenses
-
4308 (MA)4308 (MA)4308 (MA)4308 (MA)4308 (MA)
Practice Information
- Address
-
130 2ND AVEBOSTON IVF - DOMAR CENTERWALTHAM, MA, 024511100Browse MA providers · Browse ZIP 02451
- Phone
- 7814346578
- Fax
- 7813702330
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Counseling Psychologist
- Additional Specialty
- Family Psychologist
- Additional Specialty
- Health Service 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.