MEDICARE: LAURA STEFANY DOMINGUEZ MFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	123964	CA

General Provider Information

NPI Number	:	1043726979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA STEFANY DOMINGUEZ MFT

Provider Business Mailing Address
First Line	:	1067 PROSPECT AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-4380
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1067 PROSPECT AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-4380
Country	:	US
Telephone Number	:	562-972-1313
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2017
Last Update Date	:	03/07/2022

Similar Medicare Providers

1396928818 — EMMANUEL MEDICAL SUPPLY
Practice Location Address:

1330 E SOUTH ST STE 5
LONG BEACH, CA
90805-4380

Practice Phone: 562-422-3999
Practice Fax: 562-422-3988

1073692893 — THOMAS J. HUBBARD, M.D., INC
Practice Location Address:

329 PHILLIP AVE
VIRGINIA BEACH, VA
23454-4380

Practice Phone: 757-687-1900
Practice Fax: 757-687-1895

1073798104 — DR. THOMAS J HUBBARD MD
Practice Location Address:

329 PHILLIP AVE
VIRGINIA BEACH, VA
23454-4380

Practice Phone: 757-687-1900
Practice Fax: 757-687-1895

1376704155 — ATLANTIC NEPHROLOGY INC
Practice Location Address:

210 OLD KINGS RD S STE 900
FLAGLER BEACH, FL
32136-4380

Practice Phone: 383-338-3550
Practice Fax: 386-338-3551

1518282862 — PROFESSIONAL FAMILY EYECARE, INC
Practice Location Address:

137 S STATE ROAD 7 , SUITE 303
ROYAL PALM BEACH, FL
33414-4380

Practice Phone: 561-798-7432
Practice Fax: 561-791-4430

1679900526 — SAGE DENTAL OF ROYAL PALM BEACH, PLLC
Practice Location Address:

137 S STATE ROAD 7 , SUITE 301
ROYAL PALM BEACH, FL
33414-4380

Practice Phone: 561-202-6880
Practice Fax: 561-431-8169

Directions to “ LAURA STEFANY DOMINGUEZ MFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.