Individual
DR. PETER DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
159 OAKLAND AVE, SOMERSET, NJ 08873-1949
(917) 940-5697
Mailing address
159 OAKLAND AVE, SOMERSET, NJ 08873-1949
(917) 940-5697
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100524900
NJ
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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