Active NPIIndividual provider

Lisa M Donovan, MS, CCLS, RWWP

Developmental Therapist in Canton, Massachusetts

NPI Number1104681030
Practice location
603 Neponset St, Canton, MA 02021-1981
Fax
781-762-8542
Last updated
February 20, 2024

Lisa Marie Donovan is a Developmental Therapist based in Canton, MA. Lisa Marie Donovan practices in Canton, MA and has the professional credentials of MS, CCLS, RWWP. The NPI Number for Lisa Marie Donovan is 1104681030. The current practice location address for Lisa Marie Donovan is 603 Neponset St, Canton, MA 02021-1981 and can be reached out via phone at 781-255-1817 and via fax at 781-762-8542.

Provider Profile Details

NPI Number
1104681030
Provider Name
Lisa Marie Donovan
Credential
MS, CCLS, RWWP
Provider Entity Type
Individual
Gender
Female
Address
603 Neponset St, Canton, MA 02021-1981
Phone Number
781-255-1817
Fax Number
781-762-8542
Primary Taxonomy
Developmental Therapist · 222Q00000X
Sole Proprietor
No
Provider Enumeration Date
February 20, 2024
Last Update Date
February 20, 2024
Certification Date
February 20, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
603 Neponset St
Canton, MA 02021-1981
City
Canton
Zip
02021-1981
Phone Number
781-255-1817
Fax Number
781-762-8542
Canton, MA 02021Get directions →

Provider Business Mailing Address Details

Address
869 Main St Ste 6B
Walpole, MA 02081-2985
City
Walpole
State
MA
Zip
02081-2985
Phone Number
781-269-9788
Fax Number
781-327-2703

License Information

Taxonomy (1)
Developmental Therapist · 222Q00000X · Primary
Taxonomy (2)
Counselor, Mental Health · 101YM0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa M Donovan, MS, CCLS, RWWP?

The NPI number of Lisa M Donovan, MS, CCLS, RWWP is 1104681030. It was assigned on February 20, 2024 and is currently active in the NPPES registry.

What is the specialty of Lisa M Donovan, MS, CCLS, RWWP?

Lisa M Donovan, MS, CCLS, RWWP is registered under the primary taxonomy Developmental Therapist (code 222Q00000X).

Where does Lisa M Donovan, MS, CCLS, RWWP practice?

The practice location is 603 Neponset St, Canton, MA 02021-1981. The office can be reached at 781-255-1817 (phone) or 781-762-8542 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104681030 directly on the NPPES registry website.

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