Doctor Name: | MS. KATHLEEN DONOVAN |
NPI Number: | 1609949353 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 6273 |
Business Practice Address: | 424 E Washington St Unit 3 North Attleboro, MA - 027602383 |
Business Phone Number: | 5088387737 |
Business Fax Number: | 5086431509 |
Mailing Address: | 424 E Washington St, Unit 3 NORTH ATTLEBORO |
State: | MA |
Postal Code: | 027602383 |
Phone Number: | 5088387737 |
Fax Number: | 5086431509 |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 02/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6273 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |