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

DR. PETER DEDOMINICI, LSW

Active Sole Proprietor

DR. PETER DEDOMINICI, LSW is a Mental Health Counselor healthcare provider located in FAIRBORN, Ohio. NPI 1649923442 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · FAIRBORN, OH

Registration Details

NPI Number
1649923442
Provider Type
Individual
Gender
Male
NPI Issued
Feb 1, 2022 (4.5250950990662 yrs)
Last Updated
Feb 22, 2023
License
S0029122 (OH)
Sole Proprietor
Yes

Practice Information

Address
188 W HEBBLE AVE
FAIRBORN, OH, 453244960
Browse OH providers · Browse ZIP 45324
Phone
9377545911
Fax
9999999999
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in FAIRBORN, OH

Name Credential NPI
MS. KELLY A SIERRA M.S., PC 1437332533
LINDA LEE SATTEM PH.D. 1558599399
AMBERLY N VANARSDALL PC 1295026029
LISA CHASE-MILLER 1134898117
SHANA DEGNAN 1598522906
KYLA ELSWICK 1063306504
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.