Provider Demographics
NPI:1477696979
Name:HOUSMAN, DONNA K (EDD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:K
Last Name:HOUSMAN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 MEADOWBROOK RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7405
Mailing Address - Country:US
Mailing Address - Phone:781-237-6444
Mailing Address - Fax:617-975-1606
Practice Address - Street 1:ONE WASHINGTON STREET
Practice Address - Street 2:SUITE 305
Practice Address - City:WELLESLEY HILLS
Practice Address - State:MA
Practice Address - Zip Code:02481-1711
Practice Address - Country:US
Practice Address - Phone:781-237-6444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPY 3015103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical