Individual
DR. DONNA MARIE MABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
122 E STATE ST, ATHENS, OH 45701-1743
(740) 594-8898
(740) 593-7166
Mailing address
122 E STATE ST, ATHENS, OH 45701-1743
(740) 594-8898
(740) 593-7166
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3655
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000213301
ANTHEM/MAGELLAN
OH
05
—
0643236
—
OH
Enumeration date
06/20/2005
Last updated
07/08/2007
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