Individual
VIRGINIA K DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
61 ROSELAND ST, SOMERVILLE, MA 02143-3524
(617) 354-6270
(617) 354-6275
Mailing address
61 ROSELAND ST, SOMERVILLE, MA 02143-3524
(617) 354-6270
(617) 354-6275
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1800
MA
Other
Enumeration date
06/11/2006
Last updated
01/15/2008
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