Jessica Domst, MA

NPI #1215327416 in Springville, New York

Provider Information

NPI Number: 1215327416
Entity Type: Individual
Name: Jessica Domst, MA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Credential: MA
Enumeration Date: Jan 27, 2015
Last Updated: Jan 27, 2015

Practice Location

Address: 393 NORTH ST
City: Springville
State: New York
ZIP Code: 14141-9652
Phone: (716) 592-9331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary
Social Worker - School — School	1041S0200X

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