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Individual

DAVID OWEN MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D., LP

Contact information

Practice address
1102 HOSPITAL DR, MCPHERSON, KS 67460-2318
(620) 245-5000
(620) 245-5099
Mailing address
1102 HOSPITAL DR, MCPHERSON, KS 67460-2318
(325) 201-7540
(620) 245-5099

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2160
KS
103TC0700X
Clinical Psychologist
Primary
2245
KS
103TC0700X
Clinical Psychologist
2405
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200739980C
KS
Enumeration date
08/10/2011
Last updated
09/24/2014
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