Mr Edward J Donner, PHD in Kenosha, WI - Psychologist

Mr Edward J Donner, PHD is a Psychologist - Clinical based in Kenosha, Wisconsin. Mr Edward J Donner is licensed to practice in Wisconsin (license number 2142057) and his current practice location is 3601 30th Ave, Suite Ll1, Kenosha, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (262) 657-9777.

NPI number for Mr Edward J Donner is 1710936141 and his current mailing address is 3601 30th Ave, Suite Ll1, Kenosha, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710936141.

Contact Information

	Mr Edward J Donner, PHD
	3601 30th Ave, Suite Ll1, Kenosha, WI 53144-1695
	(262) 657-9777
	(262) 657-9785

Healthcare Provider's Profile

Full Name	Mr Edward J Donner
Gender	Male
Speciality	Psychologist - Clinical
Location	3601 30th Ave, Kenosha, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1710936141
Provider Enumeration Date: 05/10/2006
Last Update Date: 10/06/2007

Medical Identifiers

Medical identifiers for Mr Edward J Donner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710936141	NPI	-	NPPES
39755100	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2142057 (Wisconsin)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Edward J Donner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Edward J Donner, PHD 3601 30th Ave, Suite Ll1, Kenosha, WI 53144-1695 Ph: (262) 657-9777	Mr Edward J Donner, PHD 3601 30th Ave, Suite Ll1, Kenosha, WI 53144-1695 Ph: (262) 657-9777

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Psychologist in Kenosha, WI

Melissa A Wingate, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7815 Fax: 262-948-7816
Dr. Michael Matthew Mihajlovic, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-656-0044 Fax: 262-653-2218
Dr. Katherine M Flynn, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 12225 71st St, Kenosha, WI 53142 Phone: 262-948-4780
Danielle Defreese, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-6839
David T Marx, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-656-0044 Fax: 262-653-2218
Debra Johansen, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142 Phone: 262-654-8366
Dr. Kristin Marie Keeler, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5024 Green Bay Rd, Suite 120, Kenosha, WI 53144 Phone: 262-652-2365 Fax: 262-652-2071

Mr Edward J Donner, PHD - Psychologist in Kenosha, WI