| Doctor Name: | MISS PATIENCE ELIZABETH DOMOWSKI |
| NPI Number: | 1023429339 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | CW017360 |
| Business Practice Address: | 766 West Lincoln Hwy Exton, PA - 193412603 |
| Business Phone Number: | 6108732233 |
| Business Fax Number: | |
| Mailing Address: | 211 Towyn Ct, EXTON |
| State: | PA |
| Postal Code: | 193411478 |
| Phone Number: | 4438501232 |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2014 |
| NPI Last Update Date: | 03/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CW017360 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |