Girard-Domena, Richard

Girard-Domena, Richard is an sole proprietor health care provider with primary practice located at 551 N Country Rd Ste 203, Saint James NY 11780-1445. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Girard-Domena, Richard can be contacted via phone (631) 504-2102.

Contact Information

Primary practice address
551 N Country Rd Ste 203 Saint James NY 11780-1445
Phone: (631) 504-2102
Fax: (631) 686-5807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 115618 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 078941 New York

Profile Details

NPI number 1326369257
LBN Legal business name Girard-Domena, Richard
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2010
Last updated Jan 21st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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