Dominic Curt Alvernaz, PLP
Psychologist, Clinical in Windsor, MO. Individual provider (NPI-1).
NPI number1801489752
StatusActive
Last updated in NPPESFeb 11, 2021
Details
- NPI
- 1801489752
- Entity type
- Individual (NPI-1)
- Name
- Dominic Curt Alvernaz
- Credential
- PLP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 11, 2021
- Certification date
- Feb 11, 2021
- Last updated
- Feb 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 2020042388 | MO | Yes |
Practice location
307 N Main StWindsor, MO 65360-1449
Phone 888-403-1071
Mailing address
1800 CommunityClinton, MO 64735-8804
Phone 660-885-8131
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