Provider Demographics
NPI:1083769087
Name:WROBEL, DOMINIKA
Entity Type:Individual
Prefix:MS
First Name:DOMINIKA
Middle Name:
Last Name:WROBEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 S CLOVERDALE AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-3426
Mailing Address - Country:US
Mailing Address - Phone:323-937-4217
Mailing Address - Fax:
Practice Address - Street 1:353 S CLOVERDALE AVE APT 7
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-3426
Practice Address - Country:US
Practice Address - Phone:323-937-4217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist