| Doman & Wilson Psychological Service, Inc. | |
|
3457 Mchenry Ave Ste B Modesto CA 95350-1445 | |
| (209) 400-6059 | |
| Not Available |
| Full Name | Doman & Wilson Psychological Service, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 3457 Mchenry Ave Ste B, Modesto, California |
| Authorized Official Name and Position | Josiah Steven Doman (CFO AND CO-FOUNDER) |
| Authorized Official Contact | 2094006059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doman & Wilson Psychological Service, Inc. 3457 Mchenry Ave Ste B Modesto CA 95350-1445 Ph: (209) 400-6059 | Doman & Wilson Psychological Service, Inc. 3457 Mchenry Ave Ste B Modesto CA 95350-1445 Ph: (209) 400-6059 |
| NPI Number | 1447037445 |
|---|---|
| Provider Enumeration Date | 09/12/2023 |
| Last Update Date | 08/05/2025 |
| Certification Date | 08/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447037445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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