Healthcare Provider Details

I. General information

NPI: 1710812524
Provider Name (Legal Business Name): MEGHAN ROSE DONOHUE PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4444 FOREST PARK AVE # 2600
SAINT LOUIS MO
63108-2212
US

IV. Provider business mailing address

2045 SCHOETTLER VALLEY DR
CHESTERFIELD MO
63017-7647
US

V. Phone/Fax

Practice location:
  • Phone: 314-286-1700
  • Fax:
Mailing address:
  • Phone: 314-651-6777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number2026009973
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: