Whalio Doctors

NPI 1013336510

Samantha Domingo, PSYD

Practitioner Psychologist Corvallis, OR

Practice location

Address
3521 NW Samaritan Dr STE 201, Corvallis, OR 97330-4744
Phone
(541) 768-5140
Mailing address
PO Box 1189, Corvallis, OR 97339-1189

Registered specialties (3)

Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 2791 (OR)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X
Cognitive & Behavioral Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TB0200X

Registry record

NPI
1013336510
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Apr 2014
Record last updated
6 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.