DR. Samantha Domingo, PSY.D.

NPI #1013336510 in Corvallis, Oregon

Provider Information

NPI Number: 1013336510
Entity Type: Individual
Name: DR. Samantha Domingo, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSY.D.
Enumeration Date: Apr 11, 2014
Last Updated: Nov 6, 2020

Practice Location

Address: 3521 NW SAMARITAN DR STE 201
City: Corvallis
State: Oregon
ZIP Code: 97330-4744
Phone: (541) 768-5140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist	103T00000X	Primary

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