Individual
DONNA SPERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
694 CHURCH ST NE, SALEM, OR 97301-2401
(503) 588-5827
(503) 315-0714
Mailing address
2328 CRESTVIEW DR S, SALEM, OR 97302-5363
(586) 255-6228
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2073
OR
103TC0700X
Clinical Psychologist
6301008670
MI
Other
Enumeration date
01/21/2010
Last updated
05/17/2010
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