Individual
SUSAN ELIZABETH DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LP
Contact information
Practice address
56730 CALUMET AVE, SUITE F, CALUMET, MI 49913-2968
(906) 337-6839
(906) 337-0944
Mailing address
56730 CALUMET AVE, SUITE F, CALUMET, MI 49913-2968
(906) 337-6839
(906) 337-0944
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007915
MI
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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