Individual
KEITH FRANCIS DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
25 BIRCH ST STE A6, MILFORD, MA 01757-3585
(781) 551-0999
Mailing address
16 FREEDOM WAY, HOPKINTON, MA 01748-2888
(701) 200-7156
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP6456
MN
103TC0700X
Clinical Psychologist
Primary
11865
MA
103TC0700X
Clinical Psychologist
576
ND
103TC0700X
Clinical Psychologist
LP6456
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1479308
—
ND
05
—
1497390298
—
MN
Enumeration date
11/15/2019
Last updated
08/16/2022
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