Provider Demographics
NPI:1144468927
Name:DONOHUE, JOELEN M (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JOELEN
Middle Name:M
Last Name:DONOHUE
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:198 MANHATTAN AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2433
Mailing Address - Country:US
Mailing Address - Phone:914-747-7361
Mailing Address - Fax:914-747-7361
Practice Address - Street 1:198 MANHATTAN AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2433
Practice Address - Country:US
Practice Address - Phone:914-747-7361
Practice Address - Fax:914-747-7361
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2777-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist