IndividualActive
Madison Stefaniuk Didomenicantonio
NPI 1093545527 · Group Psychotherapy Psychologist · Santa Rosa, CA
Provider details
- NPI number
- 1093545527
- Entity type
- Individual
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
320 10th St Ste 200
Santa Rosa, CA 95401-5291
Phone: (707) 579-0465
Approximate (ZIP-level) locationGet directions
Mailing address
320 10th St Ste 200
Santa Rosa, CA 95401-5291
Registry dates
- Enumerated
- 2024-08-07
- Last updated
- 2024-08-07
- Certified
- 2024-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.