Dr. Dominique Broussard
Dr. Dominique Broussard is a Psychologist in San Francisco, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
2130 Fulton StSan Francisco, CA 94117
Phone: (510) 610-9599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence 32386 (CA) |
|---|
Record details
| NPI number | 1407431224 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 12, 2021 |
| Last updated in NPPES | March 12, 2021 |
| Certification date | February 19, 2021 |
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