EDWARD J DONNER

KENOSHA, WI
NPI1710936141
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: WI  2142057)
Enumeration Date2006-05-10
Last Update Date2007-10-06
Business Address
MR. EDWARD J DONNER PH.D.
3601 30TH AVE SUITE LL1
KENOSHA, WI 53144-1695
Phone number: 262-657-9777
Mailing Address
MR. EDWARD J DONNER PH.D.
3601 30TH AVE SUITE LL1
KENOSHA, WI 53144-1695
Phone number: 262-657-9777