Provider Demographics
NPI:1164018289
Name:DONATELLE, ALVERA ELAINE
Entity Type:Individual
Prefix:
First Name:ALVERA
Middle Name:ELAINE
Last Name:DONATELLE
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 1:16 AMES RD
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:MA
Mailing Address - Zip Code:01450-1964
Mailing Address - Country:US
Mailing Address - Phone:978-448-0998
Mailing Address - Fax:
Practice Address - Street 1:16 AMES RD
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:MA
Practice Address - Zip Code:01450-1964
Practice Address - Country:US
Practice Address - Phone:978-448-0998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-13
Last Update Date:2020-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical