Individual
DR. JOHN WILLIAM DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4185 ST GEORGE RD, WILLISTON, VT 05495-7695
(802) 651-7736
Mailing address
921 LEDGEWOOD DR, WILLISTON, VT 05495-4414
(802) 872-0551
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048-0000678
VT
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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