RAVEN DOMINGUEZ M.A., TLLP
NPI 1629770185
Psychologist in Troy, MI
About Raven Dominguez M.a., Tllp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAVEN DOMINGUEZ M.A., TLLP (NPI 1629770185) is an individual psychologist in Troy, Michigan, licensed in Michigan (6352000746) and active in the NPI registry since March 2023.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Raven Dominguez's NPI number?
The NPI number for Raven Dominguez is 1629770185. It was assigned to this individual provider in the NPPES registry on March 20, 2023.
Where is Raven Dominguez located?
Raven Dominguez practices at 1257 Kirts Blvd Apt 218, Troy, MI 48084. The listed phone number is (248) 787-2173.
What is Raven Dominguez's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
When was this NPI record last updated?
The NPPES record for Raven Dominguez was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.