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Contact Information

LEO P DONOVAN JR PHD LLC
239 HAMILTON AVE APT 8
STAMFORD, CT06902-3480
 Phone: 203-359-4560
 Fax: 203-359-4913
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LEO P DONOVAN JR PHD LLC · (Female)

NPI # 1760781371
Status Active
Credentials
Entity Individual
Enumeration date 03/22/2011
Last updated 04/17/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 560
  • CT Medicaid 004183274
  • Other 1316016611 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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