Doctor Name: | PATRICIA E DONOVAN |
NPI Number: | 1033153366 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LSW |
License Number: | 33004975A |
Business Practice Address: | 8955 Columbia Ave Munster, IN - 463212903 |
Business Phone Number: | 2199238110 |
Business Fax Number: | 2199238126 |
Mailing Address: | 8955 Columbia Ave, MUNSTER |
State: | IN |
Postal Code: | 463212903 |
Phone Number: | 2199238110 |
Fax Number: | 2199238126 |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 33004975A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |