Individual provider · Type 1 NPI

Dominic Walter Ysidron, PhD

Clinical Psychologist · Garner, NC

NPI number 1851852891 Active

Practice location

2700 Benson Rd
Garner, NC 27529-9059

Call (984) 202-7700 Map

Mailing address

508 Fulton St
Durham, NC 27705-3875

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X6868 (NC)

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 1851852891

Dominic Walter Ysidron, PhD's National Provider Identifier is 1851852891, issued on Mar 30, 2019. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Garner, NC. The record was last updated on Oct 28, 2025.