Provider Demographics
NPI:1083756464
Name:MCQUINN, DONNA E (PSYD)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:E
Last Name:MCQUINN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:769 PLAIN ST
Mailing Address - Street 2:UNIT N
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-2118
Mailing Address - Country:US
Mailing Address - Phone:781-834-0747
Mailing Address - Fax:781-834-0763
Practice Address - Street 1:769 PLAIN ST
Practice Address - Street 2:UNIT N
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-2118
Practice Address - Country:US
Practice Address - Phone:781-834-0747
Practice Address - Fax:781-834-0763
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6202103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM21896Medicare UPIN