Individual
JUSTIN DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
114 WOODLAND ST, WORCESTER, MA 01610-1321
(508) 421-3737
Mailing address
55 WANNAMOISETT RD APT 1, EAST PROVIDENCE, RI 02914-3012
(503) 410-9510
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01659
RI
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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