Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 6301006075 | MI |
N | 103T00000X | Psychologist | 6301006075 | MI |
N | 103TA0700X | Adult Development & Aging Psychologist | 6301006075 | MI |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 6301006075 | MI |
N | 103G00000X | Clinical Psychologist | 6301006075 | MI |
N | 103TC0700X | Clinical Psychologist | 6301006075 | MI |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 6301006075 | MI |
N | 103TH0100X | Health Service | 6301006075 | MI |
N | 103TM1800X | Intellectual & Developmental Disabilities | 6301006075 | MI |
NPI | 1861514283 |
---|---|
Provider Name | Dr. Deborah Rose Donison |
First Address | Detroit, MI 48221-2754 |
Second Address | Detroit, MI 48221-2754 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2007 |
Last Update Date | 08/07/2007 |