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Individual

DR. DONNA L GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
4780 ASHFORD DUNWOODY RD, SUITE A540 - PMB# 202, ATLANTA, GA 30338-5564
(678) 827-1592
Mailing address
4780 ASHFORD DUNWOODY RD, SUITE A540 - PMB# 202, ATLANTA, GA 30338-5564
(678) 827-1592

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
016719
NY
103T00000X
Psychologist
PS-T000863
GA
103T00000X
Psychologist
Primary
PSY003533
GA
103TS0200X
School Psychologist
891235
GA

Other

Enumeration date
09/29/2010
Last updated
01/02/2017
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