Provider Demographics
NPI:1235656620
Name:DONATE, ABIGAIL JOY (LP)
Entity Type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:JOY
Last Name:DONATE
Suffix:
Gender:F
Credentials:LP
Other - Prefix:DR
Other - First Name:ABIGAIL
Other - Middle Name:JOY
Other - Last Name:DONATE-PERALTA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LP
Mailing Address - Street 1:4851 INDEPENDENCE ST
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6715
Mailing Address - Country:US
Mailing Address - Phone:303-853-3500
Mailing Address - Fax:
Practice Address - Street 1:4851 INDEPENDENCE ST
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6715
Practice Address - Country:US
Practice Address - Phone:303-853-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-25
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0005687103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist