Dominique De Laet

NPI 1649427600 · on the registry since 2008 · sole proprietor

Practice

Address: 1437 S Belcher Rd
Clearwater, FL 33764
Phone: (727) 524-4464
Fax: (727) 507-4825
Organisation at this address: Genoa Healthcare Llc
Genoa Healthcare Of Fl Llc
Directions For Mental Health Inc
Genoa Healthcare Of Florida, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 253

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida