Individual
MS. BRIDGET KATHLEEN DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10521 DRUMMOND RD, PHILADELPHIA, PA 19154-3807
(215) 612-1000
Mailing address
10521 DRUMMOND RD, PHILADELPHIA, PA 19154-3807
(215) 612-1000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003322
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013044304
—
PA
Enumeration date
06/14/2017
Last updated
06/16/2018
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