Individual
J. DONALD MATHERNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
180B DEBUYS RD STE 202, BILOXI, MS 39531-4407
(228) 385-1827
(228) 385-1127
Mailing address
180B DEBUYS RD STE 202, BILOXI, MS 39531-4407
(228) 385-1827
(228) 385-1127
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
#78
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110990
—
MS
Enumeration date
02/26/2007
Last updated
07/08/2007
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