National Provider Identifier Database

LEO P DONOVAN JR PHD LLC
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


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
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for LEO P DONOVAN JR PHD LLC

NPI Number 1760781371
Legal business name
LBN
LEO P DONOVAN JR PHD LLC
Authorized official LEO DONOVAN - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 03/22/2011
Last updated 04/17/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 560
  • CT Medicaid: 004183274
  • Other: 1316016611 NPI

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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