Individual
DR. KATHLEEN A DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
31 BROCKWAY PL, BROCKPORT, NY 14420-2207
(585) 319-1546
(585) 395-1887
Mailing address
31 BROCKWAY PL, BROCKPORT, NY 14420-2207
(585) 319-1546
(585) 395-1887
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012973-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002627690
FIDELIS
NY
01
—
00026276901
UNIVERA
NY
01
—
000525385001
BCBS OF WESTERN NY
NY
05
—
01777173
—
NY
01
—
179887FC
PREFERRED CARE
NY
01
—
6111459
INDEPENDENT HEALTH
NY
01
—
7059494
AETNA
NY
Enumeration date
12/04/2006
Last updated
07/08/2007
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