Provider Demographics
NPI:1225048200
Name:DONOHUE, MARGARET (MA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:DONOHUE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:MC KINLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:ROUTE 107
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:VT
Mailing Address - Zip Code:05032
Mailing Address - Country:US
Mailing Address - Phone:802-234-9913
Mailing Address - Fax:
Practice Address - Street 1:ROUTE 107
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:VT
Practice Address - Zip Code:05032
Practice Address - Country:US
Practice Address - Phone:802-234-9913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0680000587101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1008864Medicaid