Mrs. Susan Dominguez, PSY24264
Mrs. Susan Dominguez, PSY24264 is an Intellectual & Developmental Disabilities Psychologist in Berkeley, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
3200 Adeline StBerkeley, CA 94703-2407
Phone: (510) 601-0203
Fax: (510) 601-4002
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Specialties & licences
| Intellectual & Developmental Disabilities Psychologist (primary) | Taxonomy 103TM1800X · Licence PSY24264 (CA) |
|---|
Record details
| NPI number | 1477709483 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PSY24264 |
| Sole proprietor | Yes |
| NPI enumerated | August 9, 2008 |
| Last updated in NPPES | February 4, 2026 |
| Certification date | February 4, 2026 |
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