Provider Demographics
NPI:1033357306
Name:DONLY, WILLIAM (MED)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:DONLY
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 ESTRELLA LANE
Mailing Address - Street 2:
Mailing Address - City:E. FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02536
Mailing Address - Country:US
Mailing Address - Phone:508-992-1500
Mailing Address - Fax:508-994-0745
Practice Address - Street 1:842 PURCHASE ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6232
Practice Address - Country:US
Practice Address - Phone:508-992-1500
Practice Address - Fax:508-994-0745
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)