Organization
DONOVAN CENTER FOR CHILD DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH E BRADBURY JR. (PRESIDENT)
(508) 525-6772
Entity
Organization
Contact information
Practice address
8 MAYFLOWER RD, CARVER, MA 02330-1426
(508) 525-6772
Mailing address
8 MAYFLOWER RD, CARVER, MA 02330-1426
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
MA
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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