NPI 1093864936

Alan Charles Domian, PHD

Practitioner Psychologist Prairie Village, KS

Practice location

Address: 4200 Somerset Dr Suite 254, Prairie Village, KS 66208-5217
Phone: (913) 381-1810
Fax: (913) 381-1836

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 752 (KS)

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Registry record

NPI: 1093864936
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jan 2007
Record last updated: 8 Jul 2007

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.