Doctor Name: | DR. DOMINIQUE VO |
NPI Number: | 1225015647 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD MPH |
License Number: | 208513 |
Business Practice Address: | 300 Ocean Ave Mgh Revere Healthcare Center Revere, MA - 021513675 |
Business Phone Number: | 7814856100 |
Business Fax Number: | 7814856119 |
Mailing Address: | 300 Ocean Ave, Mgh Revere Healthcare Center REVERE |
State: | MA |
Postal Code: | 02151 |
Phone Number: | 7814856000 |
Fax Number: | 7814856119 |
NPI Enumeration Date: | 12/28/2005 |
NPI Last Update Date: | 01/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 208513 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |