Individual
STEPHANIE DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5995 IRIS PKWY, FREDERICK, CO 80504-6412
(303) 697-2583
(303) 833-9183
Mailing address
PO BOX 189, FREDERICK, CO 80530-0189
(303) 697-2583
(303) 833-9183
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSYC.00013623
CO
Other
Enumeration date
02/18/2016
Last updated
10/20/2021
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