Dr Maria Mercedes Dominguez, PHD, LMFT is a
Marriage & Family Therapist based in Fort Leonard Wood, Missouri. Dr Maria Mercedes Dominguez is licensed to practice in Michigan (license number 4101006781) and her current practice location is
124 Ellis St, Fort Leonard Wood, Missouri. She can be reached at her office (for appointments etc.) via phone at
(808) 600-4458.
NPI number for Dr Maria Mercedes Dominguez is 1023671849 and her current mailing address is 233 Illinois Ave Unit 752, Fort Leonard Wood, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023671849.
Healthcare Provider's Profile
Full Name | Dr Maria Mercedes Dominguez |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 124 Ellis St, Fort Leonard Wood, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023671849
- Provider Enumeration Date: 04/17/2019
- Last Update Date: 04/17/2019
Medical Identifiers
Medical identifiers for Dr Maria Mercedes Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023671849 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 562 (Hawaii) | Secondary |
106H00000X | Marriage & Family Therapist | 4101006781 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Maria Mercedes Dominguez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Maria Mercedes Dominguez, PHD, LMFT 233 Illinois Ave Unit 752, Fort Leonard Wood, MO 65473-3232 Ph: (808) 600-4458 | Dr Maria Mercedes Dominguez, PHD, LMFT 124 Ellis St, Fort Leonard Wood, MO 65473-1148 Ph: (808) 600-4458 |
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