Provider Demographics
NPI:1942644745
Name:MCCLUNE, DONALD L JR (PHD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:L
Last Name:MCCLUNE
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 DEEPWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:PINE GROVE MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:16868-0273
Mailing Address - Country:US
Mailing Address - Phone:814-234-9667
Mailing Address - Fax:
Practice Address - Street 1:228 DEEPWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:PINE GROVE MILLS
Practice Address - State:PA
Practice Address - Zip Code:16868-0273
Practice Address - Country:US
Practice Address - Phone:814-234-9667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral