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NPI Code Detail

MEDICARE: STEPHEN P DONAHUE M.A.

MEDICARE: STEPHEN P DONAHUE M.A.
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
1106H00000XMarriage & Family TherapistPS008101LPA
2103T00000XPsychologistPS008101LPA

General Provider Information

NPI Number : 1932297686
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN P DONAHUE M.A.
Provider Business Mailing Address
First Line : 2719 HOLLYWOOD BLVD STE 5469
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-4821
Country : US
Telephone Number : 973-264-0023
Fax Number : 973-264-0022
Provider Business Practice Location Address
First Line : 815 CHESTER PIKE
Second Line :
City : PROSPECT PARK
State : PA
Zip : 19076-2322
Country : US
Telephone Number : 973-264-0023
Fax Number : 973-264-0022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 07/24/2024

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Directions to “ STEPHEN P DONAHUE M.A.” Practice Location

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