Mr. Dominic A Candido, PHD
Psychologist, Clinical in Lebanon, New Hampshire
1780670612- Practice location
- 67 Etna Road, Suite 350, Lebanon, NH 03766
- Phone
- 603-448-0055
- Fax
- 603-727-9042
- Last updated
- October 7, 2016
Dominic Anthony Candido is a Psychologist, Clinical based in Lebanon, NH. Dominic Anthony Candido practices in Lebanon, NH and has the professional credentials of PHD. The NPI Number for Dominic Anthony Candido is 1780670612 and holds a License No. NY10699 (NY). The current practice location address for Dominic Anthony Candido is 67 Etna Road, Suite 350, Lebanon, NH 03766 and can be reached out via phone at 603-448-0055 and via fax at 603-727-9042.
Provider Profile Details
- NPI Number
- 1780670612
- Provider Name
- Dominic Anthony Candido
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 67 Etna Road, Suite 350, Lebanon, NH 03766
- Phone Number
- 603-448-0055
- Fax Number
- 603-727-9042
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Other Names
- -- Dominic Anthony Candido, PHD (Professional Name)
- Provider Enumeration Date
- September 26, 2005
- Last Update Date
- October 7, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 67 Etna Road
Suite 350
Lebanon, NH 03766 - City
- Lebanon
- State
- New Hampshire
- Zip
- 03766
- Phone Number
- 603-448-0055
- Fax Number
- 603-727-9042
Provider Business Mailing Address Details
- Address
- 67 Etna Road
Suite 350
Lebanon, NH 03766 - City
- Lebanon
- State
- NH
- Zip
- 03766
- Phone Number
- 603-448-0055
- Fax Number
- 603-727-9042
License Information
- License Number (1)
- NY10699
- License State (1)
- NY
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X
- License Number (2)
- NH 1126
- License State (2)
- NH
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X · Primary
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 Mr. Dominic A Candido, PHD?
The NPI number of Mr. Dominic A Candido, PHD is 1780670612. It was assigned on September 26, 2005 and is currently active in the NPPES registry.
What is the specialty of Mr. Dominic A Candido, PHD?
Mr. Dominic A Candido, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number NY10699.
Where does Mr. Dominic A Candido, PHD practice?
The practice location is 67 Etna Road, Suite 350, Lebanon, NH 03766. The office can be reached at 603-448-0055 (phone) or 603-727-9042 (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 1780670612 directly on the NPPES registry website.