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

Individual provider Psychologist · NPI 1629770185

Raven Dominguez, MA, TLLP is a Psychologist in Troy, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1257 Kirts Blvd Apt 218
Troy, MI 48084-4833
Phone: (248) 787-2173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6352000746 (MI)

Record details

NPI number1629770185
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , TLLP
Sole proprietorYes
NPI enumeratedMarch 20, 2023
Last updated in NPPESMarch 20, 2023
Certification dateMarch 20, 2023

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