| Organization Name: | KAREN B DONAHUE, PSYD LLC |
| NPI Number: | 1568845345 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN BOYLE DONAHUE (PSYCHOLOGIST) |
| Mailing Address: | 1540 Route 138 Building 2, Suite 201 Wall |
| State: | NJ US |
| Postal Code: | 077193763 |
| Phone Number: | 7325285553 |
| Fax Number: | 7325560246 |
| NPI Enumeration Date: | 06/30/2015 |
| NPI Last Update Date: | 05/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103G00000X |
| License Number: | 35SI00538000 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Clinical Neuropsychologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |