Individual
LAURIE MARIE DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
320 TUSCANY WAY APT 306, MELBOURNE, FL 32940-8180
(412) 303-0157
Mailing address
320 TUSCANY WAY APT 306, MELBOURNE, FL 32940-8180
(412) 303-0157
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PS015442
PA
103TC0700X
Clinical Psychologist
Primary
PY9009
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1539220
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/18/2006
Last updated
08/07/2014
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