Individual
DONALD ALLEN DOTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3412 S ILLINOIS AVE, CARBONDALE, IL 62903-8362
(618) 457-4488
(618) 457-8844
Mailing address
3412 S ILLINOIS AVE, CARBONDALE, IL 62903-8362
(618) 457-4488
(618) 457-8844
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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