Individual
HOLLY DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3390 SAXONBURG BLVD STE 250, GLENSHAW, PA 15116-3160
(412) 767-5967
Mailing address
648 WOODVALLEY DR, PITTSBURGH, PA 15238-2135
(727) 656-0660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL014238
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SL014238
COMMONWEALTH OF PA - BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PA
01
—
SZ8222
FL DEPARTMENT OF HEALTH - BOARD OF SPEECH-LANGUAGE PATHOLOGY
FL
Enumeration date
08/29/2017
Last updated
03/05/2019
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