Paul Bernard Donovan in Santa Fe - Health Service

Paul Bernard Donovan - NPI 1366493769

Paul Bernard Donovan is a Health Service in Santa Fe, New Mexico. Paul Bernard Donovan practices all healthcare services and medical treatments related to Health Service. The NPI Number for Paul Bernard Donovan is 1366493769. The last update date is 2011-12-29.

Paul Bernard Donovan's current location address is 1640 Old Pecos Trail, Suite B, Santa Fe, New Mexico. You can contact this provider via phone number 5059868866 and fax number 5059831891. The mailing address for Paul Bernard Donovan is 1640 Old Pecos Trail, Suite B, Santa Fe, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Bernard Donovan
Address 1640 Old Pecos Trail, Suite B, Santa Fe, New Mexico
Phone Number 5059868866
Fax Number 5059831891
Sole Proprietor N
Credentials PH.D

NPI Number Detail

NPI Number 1366493769
Provider Enumeration Date 2006-05-12
Last Updated Date 2011-12-29

Provider Mailing Address Detail

Address 1640 Old Pecos Trail, Suite B
City Santa Fe
State New Mexico (NM)
Post Code 87505
Phone Number 5059868866
Fax Number 5059831891

Provider's Primary Taxonomy Detail

Speciality Health Service
Taxonomy 103Th0100X
Licence No 675
Definition:
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
S3976. NM --

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FAQs about Paul Bernard Donovan

What is the Paul Bernard Donovan's unique identification number?

The Paul Bernard Donovan has been assigned the NPI (National Provider Identifier) Number 1366493769 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Paul Bernard Donovan is physically located?

The Paul Bernard Donovan is physically situated at the following address: 1640 Old Pecos Trail, Suite B, Santa Fe, NM, 87505.

What is Paul Bernard Donovan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Paul Bernard Donovan is Health Service, and the taxonomy code that classifies this field of practice is 103Th0100X.

On what date was the 1366493769 assigned to Paul Bernard Donovan?

The Paul Bernard Donovan was issued its 1366493769 on 2006-05-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Paul Bernard Donovan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Paul Bernard Donovan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-12-29.

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