Doctor Name: | JESSICA L. DONOVAN |
NPI Number: | 1053592659 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | PENDING |
Business Practice Address: | 8 Henshaw St F Woburn, MA - 018014624 |
Business Phone Number: | 7819353855 |
Business Fax Number: | |
Mailing Address: | 8 Henshaw St, F WOBURN |
State: | MA |
Postal Code: | 018014624 |
Phone Number: | 7819353855 |
Fax Number: | |
NPI Enumeration Date: | 11/25/2007 |
NPI Last Update Date: | 11/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | PENDING |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |