Individual
DR. MICHAEL C MCDONOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED CLINICALPSY
Contact information
Practice address
112 BEECH STREET, SUITE 1A, GATE CITY, VA 24251
(276) 386-8012
Mailing address
1447 GLENMAR AVE, MT CARMEL, TN 37645-3026
(276) 690-5535
(276) 386-2116
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2451
VA
Other
Enumeration date
06/22/2011
Last updated
04/12/2013
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