Individual
DR. JUSTIN DONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
315 W PONCE DE LEON AVE, SUITE 1064, DECATUR, GA 30030-2400
(404) 654-3411
Mailing address
315 W PONCE DE LEON AVE, SUITE 1064, DECATUR, GA 30030-2400
(404) 654-3411
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003538
GA
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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