MEDICARE: MR. KIMBERLY SUE DOMINIC MA

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	956	CO

General Provider Information

NPI Number	:	1548440035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KIMBERLY SUE DOMINIC MA

Provider Business Mailing Address
First Line	:	3155 HOLLYCREST DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-3014
Country	:	US
Telephone Number	:	719-235-1826
Fax Number	:

Provider Business Practice Location Address
First Line	:	1440 E FOUNTAIN BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80910-3502
Country	:	US
Telephone Number	:	719-238-7264
Fax Number	:

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

Provider Enumeration Date	:	11/13/2007
Last Update Date	:	03/30/2017

Similar Medicare Providers

1851239032 — LIMELIGHT ASSISTED LIVING - PUEBLO LLC
Practice Location Address:

1420 E FOUNTAIN BLVD
COLORADO SPRINGS, CO
80910-3502

Practice Phone: 814-722-1559
Practice Fax: 303-205-0073

1629107255 — KIDS CROSSING
Practice Location Address:

1440 E FOUNTAIN BLVD
COLORADO SPRINGS, CO
80910-3502

Practice Phone: 719-632-4569
Practice Fax:

1891953550 — NATHAN TALLMADGE CALDWELL
Practice Location Address:

1440 E FOUNTAIN BLVD
COLORADO SPRINGS, CO
80910-3502

Practice Phone: 719-667-7043
Practice Fax:

1194031575 — ROCKY MOUNTAIN BRAIN INJURY SERVICES, LLC
Practice Location Address:

1420 E FOUNTAIN BLVD
COLORADO SPRINGS, CO
80910-3502

Practice Phone: 719-457-0660
Practice Fax: 719-314-0149

1639581440 — MRS. RACHEL JENNIFER TURNER MA
Practice Location Address:

1440 E FOUNTAIN BLVD
COLORADO SPRINGS, CO
80910-3502

Practice Phone: 303-263-7373
Practice Fax:

1215469135 — HILARY BRIDGES LPC
Practice Location Address:

1440 E FOUNTAIN BLVD
COLORADO SPRINGS, CO
80910-3502

Practice Phone: 719-632-4569
Practice Fax:

Directions to “ MR. KIMBERLY SUE DOMINIC MA” 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 © 2007-2026 (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.