Individual
JOSEPHINE LOIACONO-DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1329-49TH STREET, BROOKLYN, NY 11219
(917) 975-9186
Mailing address
2228-63RD ST., BROOKLYN, NY 11204
(917) 975-9186
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013537
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013537
LICENSE
NY
Enumeration date
12/28/2006
Last updated
07/08/2007
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