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NPI Code Detail

MEDICARE: SARAH SLOANE DONOVAN LCPC

MEDICARE:   SARAH SLOANE DONOVAN  LCPC
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
1101YM0800XMental Health CounselorLC4704MD

General Provider Information

NPI Number : 1558824144
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH SLOANE DONOVAN LCPC
Provider Business Mailing Address
First Line : 149 N POTOMAC ST
Second Line :
City : BALTIMORE
State : MD
Zip : 21224-1338
Country : US
Telephone Number : 410-935-9107
Fax Number :
Provider Business Practice Location Address
First Line : 1447 YORK RD STE 701
Second Line :
City : LUTHERVILLE
State : MD
Zip : 21093-6089
Country : US
Telephone Number : 410-298-8489
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2019
Last Update Date : 07/23/2019

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Directions to “ SARAH SLOANE DONOVAN LCPC” Practice Location

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