Provider Demographics
NPI:1093003832
Name:GOVONI, DEVON
Entity Type:Individual
Prefix:
First Name:DEVON
Middle Name:
Last Name:GOVONI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CHAPEL HILL DR
Mailing Address - Street 2:12
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-6004
Mailing Address - Country:US
Mailing Address - Phone:774-207-8549
Mailing Address - Fax:
Practice Address - Street 1:1 CHAPEL HILL DR
Practice Address - Street 2:12
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-6004
Practice Address - Country:US
Practice Address - Phone:774-207-8549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-14
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist