Individual provider · Type 1 NPI
Raven Dominguez, PhD, LP
Clinical Psychologist · Detroit, MI
Practice location
645 Griswold St Rm 1164
Detroit, MI 48226-4105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 6301019948 (MI) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1629770185
Raven Dominguez, PhD, LP's National Provider Identifier is 1629770185, issued on Mar 20, 2023. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Detroit, MI. The record was last updated on Oct 5, 2026.