NPI | 1780670612 |
---|---|
Professional Name | DOMINIC ANTHONY CANDIDO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH NH 1126) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY NY10699) |
Enumeration Date | 2005-09-26 |
Last Update Date | 2016-10-07 |