Individual
DR. DONALD CRAIG KERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3949 HOLCOMB BRIDGE RD, SUITE 202, NORCROSS, GA 30092-2207
(770) 449-0082
(678) 623-8234
Mailing address
3949 HOLCOMB BRIDGE RD, SUITE 202, NORCROSS, GA 30092-2207
(770) 449-0082
(678) 623-8234
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002840
GA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY002840
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10053301
AMERIGROUP ID NUMBER
GA
01
—
52841596 002
BLUE CROSS BLUE SHIELD
GA
Enumeration date
10/21/2006
Last updated
09/11/2025
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