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Individual

DR. DONNA G TITUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY D

Contact information

Practice address
4010 DUPONT CIR, SUITE 562, LOUISVILLE, KY 40207-4812
(502) 896-1850
(502) 896-6863
Mailing address
2430 CAROLINA AVE, LOUISVILLE, KY 40205-2212
(502) 459-7536

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
809
KY
103TC0700X
Clinical Psychologist
Primary
809
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000042994
ANTHEM
01
044445
VALUE OPTION MHS
01
085189000
MAGELLAN
05
100387310
IN
01
17548
CIGNA
01
179578
COMPSYCH
01
235878
MHN
01
4340889
AETNA
05
89009237002
KY
01
90068
UHC UBH
01
A035941
VALUE OPTION VENDER
01
PVPB128223
APS HEALTHCARE
Enumeration date
11/16/2005
Last updated
10/03/2011
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