| Donahue P, C & S Llc | |
|
770 Saybrook Rd Bldg B Middletown CT 06457-4739 | |
| (860) 227-5962 | |
| Not Available |
| Full Name | Donahue P, C & S Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 770 Saybrook Rd Bldg B, Middletown, Connecticut |
| Authorized Official Name and Position | Daphne Donahue (OWNER) |
| Authorized Official Contact | 8602275962 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donahue P, C & S Llc 83 Springbrook Dr Rocky Hill CT 06067-3623 Ph: (860) 227-5962 | Donahue P, C & S Llc 770 Saybrook Rd Bldg B Middletown CT 06457-4739 Ph: (860) 227-5962 |
| NPI Number | 1477336006 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 08/16/2023 |
| Certification Date | 08/03/2023 |
| Medicare PECOS PAC ID | 6800240292 |
|---|---|
| Medicare Enrollment ID | O20231004001787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477336006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Daphne E Donahue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538120332 PECOS PAC ID: 7719332105 Enrollment ID: I20231004001848 |
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