Individual
MRS. HEIDI C DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5632 WHISPERING WOODS DR, PACE, FL 32571-8327
(850) 995-8018
(850) 492-7667
Mailing address
5632 WHISPERING WOODS DR, PACE, FL 32571-8327
(850) 995-8018
(850) 492-7667
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6842
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74028
BLUE
FL
Enumeration date
08/10/2006
Last updated
07/08/2007
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