Individual
KEVIN JOSEPH DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
1153 CENTRE ST, JAMAICA PLAIN, MA 02130-3446
(617) 983-7924
(617) 983-7455
Mailing address
33 STRATFORD ST, WEST ROXBURY, MA 02132-2008
(617) 982-7924
(617) 983-7455
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1985
MA
Other
Enumeration date
12/30/2006
Last updated
07/08/2007
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