IndividualActive
Mark Dominguez, MA. PSYA
NPI 1831765320 · Psychoanalyst · Teaneck, NJ
Provider details
- NPI number
- 1831765320
- Entity type
- Individual
- Primary specialty
- PsychoanalystBehavioral Health & Social Service Providers
- Credential
- MA. PSYA
- Sex
- Male
- Sole proprietor
- No
Practice location
800 Catalpa Ave
Teaneck, NJ 07666
Phone: (201) 641-5648
Fax: (201) 440-8580
Mailing address
250 Euclid Ave
Ridgefield Pk, NJ 07660
Registry dates
- Enumerated
- 2021-06-03
- Last updated
- 2021-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.