Healthcare Provider Details

I. General information

NPI: 1922319508
Provider Name (Legal Business Name): NOREEN M DONOVAN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2010
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 MILL ST STE 4
ARLINGTON MA
02476-4738
US

IV. Provider business mailing address

22 MILL ST STE 4
ARLINGTON MA
02476-4738
US

V. Phone/Fax

Practice location:
  • Phone: 781-646-0500
  • Fax: 781-646-2694
Mailing address:
  • Phone: 781-646-0500
  • Fax: 781-646-2694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number9720
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: