Individual
DR. STUART LEE DONESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
4572 S HAGADORN RD STE 2H, EAST LANSING, MI 48823-5385
(517) 203-3300
(517) 203-3300
Mailing address
4562 COMANCHE DR, OKEMOS, MI 48864-2064
(517) 337-8447
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301 005005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62 OC34603
BLUECROSS BLUE SHIELD PIN
—
Enumeration date
01/21/2007
Last updated
07/08/2007
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