Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Dominic Walter Ysidron, PHD

Individual provider Clinical Psychologist · NPI 1851852891

Dr. Dominic Walter Ysidron, PHD is a Clinical Psychologist in Garner, North Carolina. Licensed in North Carolina. Registered with an NPI since 2019.

Licensed in
NC
In the registry since
2019
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

2700 Benson Rd
Garner, NC 27529-9059
Phone: (984) 202-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6868 (NC)

Record details

NPI number1851852891
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 30, 2019
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

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