Individual
DR. DONNA RENEE USSERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
700 BEAVER RUIN RD NW, SUITE F, LILBURN, GA 30047-3404
(770) 925-7895
(770) 925-8059
Mailing address
700 BEAVER RUIN RD NW, SUITE F, LILBURN, GA 30047-3404
(770) 925-7895
(770) 925-8059
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002709
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000391
AMERIGROUP
GA
Enumeration date
02/28/2007
Last updated
07/08/2007
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