Ann Marie Donohue, PH.D.

Individual provider Active NPI Psychologist · Glenside, PA

NPI 1962789941 · NPPES record last updated Nov 4, 2011

Key facts

NPI
1962789941
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
PS005970L (PA)
Practice address
349 N Keswick Ave
Glenside, PA 19038-4217
Phone
(215) 803-6387
NPI assigned
Nov 4, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS005970LPAMDPsychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS005970L PA Yes

Addresses

Primary practice location

349 N Keswick Ave
Glenside, PA 19038-4217

Mailing address

349 N Keswick Ave
Glenside, PA 19038-4217
Phone (215) 803-6387

Other providers in Glenside, PA

All providers in Glenside, PA · Psychologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.