Alice D Domar, PHD
Psychologist, Cognitive & Behavioral in Waltham, Massachusetts
1417902099- Practice location
- 130 2ND Ave, Boston Ivf - Domar Center, Waltham, MA 02451-1100
- Phone
- 781-434-6578
- Fax
- 781-370-2330
- Last updated
- September 1, 2009
Alice Diane Domar is a Psychologist, Cognitive & Behavioral based in Waltham, MA. Alice Diane Domar practices in Waltham, MA and has the professional credentials of PHD. The NPI Number for Alice Diane Domar is 1417902099 and holds a License No. 4308 (MA). The current practice location address for Alice Diane Domar is 130 2ND Ave, Boston Ivf - Domar Center, Waltham, MA 02451-1100 and can be reached out via phone at 781-434-6578 and via fax at 781-370-2330.
Provider Profile Details
- NPI Number
- 1417902099
- Provider Name
- Alice Diane Domar
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 130 2ND Ave, Boston Ivf - Domar Center, Waltham, MA 02451-1100
- Phone Number
- 781-434-6578
- Fax Number
- 781-370-2330
- Primary Taxonomy
- Psychologist, Cognitive & Behavioral · 103TB0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 23, 2006
- Last Update Date
- September 1, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 2ND Ave
Boston Ivf - Domar Center
Waltham, MA 02451-1100 - City
- Waltham
- State
- Massachusetts
- Zip
- 02451-1100
- Phone Number
- 781-434-6578
- Fax Number
- 781-370-2330
Provider Business Mailing Address Details
- Address
- 130 2ND Ave
Boston Ivf - Domar Center
Waltham, MA 02451-1100 - City
- Waltham
- State
- MA
- Zip
- 02451-1100
- Phone Number
- 781-434-6578
- Fax Number
- 781-370-2330
License Information
- License Number (1)
- 4308
- License State (1)
- MA
- Taxonomy (1)
- Psychologist, Cognitive & Behavioral · 103TB0200X · Primary
- License Number (2)
- 4308
- License State (2)
- MA
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X
- License Number (3)
- 4308
- License State (3)
- MA
- Taxonomy (3)
- Psychologist, Counseling · 103TC1900X
- License Number (4)
- 4308
- License State (4)
- MA
- Taxonomy (4)
- Psychologist, Family · 103TF0000X
- License Number (5)
- 4308
- License State (5)
- MA
- Taxonomy (5)
- Psychologist, Health Service · 103TH0100X
- License Number (6)
- 4308
- License State (6)
- MA
- Taxonomy (6)
- Psychologist · 103T00000X
- License Number (7)
- 4308
- License State (7)
- MA
- Taxonomy (7)
- Psychologist, Group Psychotherapy · 103TP2701X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Alice D Domar, PHD?
The NPI number of Alice D Domar, PHD is 1417902099. It was assigned on May 23, 2006 and is currently active in the NPPES registry.
What is the specialty of Alice D Domar, PHD?
Alice D Domar, PHD is registered under the primary taxonomy Psychologist, Cognitive & Behavioral (code 103TB0200X), licensed in MA under license number 4308.
Where does Alice D Domar, PHD practice?
The practice location is 130 2ND Ave, Boston Ivf - Domar Center, Waltham, MA 02451-1100. The office can be reached at 781-434-6578 (phone) or 781-370-2330 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417902099 directly on the NPPES registry website.