Individual
DR. DONNA PURVIS IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
146 PIERCE AVE, MACON, GA 31204-2871
(478) 745-0244
(478) 745-1423
Mailing address
146 PIERCE AVE, MACON, GA 31204-2871
(478) 745-0244
(478) 745-1423
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2352
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00846909D
—
GA
05
—
00846909I
—
GA
Enumeration date
08/14/2006
Last updated
07/08/2007
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