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NPI Code Detail

MEDICARE: DR. ANGELA DONAHUE PH.D.

MEDICARE: DR. ANGELA DONAHUE PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY14677CA

General Provider Information

NPI Number : 1437170560
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELA DONAHUE PH.D.
Provider Business Mailing Address
First Line : 150 E MEDA AVE STE 110
Second Line :
City : GLENDORA
State : CA
Zip : 91741-2607
Country : US
Telephone Number : 626-335-3334
Fax Number : 626-335-4973
Provider Business Practice Location Address
First Line : 150 E MEDA AVE STE 110
Second Line :
City : GLENDORA
State : CA
Zip : 91741-2607
Country : US
Telephone Number : 626-335-3334
Fax Number : 626-335-4973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2006
Last Update Date : 02/15/2010

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Directions to “ DR. ANGELA DONAHUE PH.D.” Practice Location

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