Individual
DR. JOHN M MACDONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3024 NORTH ST, MORGANTOWN, PA 19543-7726
(610) 286-5264
Mailing address
PO BOX 312, MORGANTOWN, PA 19543-0312
(610) 286-5264
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS003808L
PA
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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