Individual
KRISTINE DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-7770
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-7770
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY6800
FL
103TC0700X
Clinical Psychologist
Primary
LP6958
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73092
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/12/2006
Last updated
09/28/2023
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