Provider Demographics
NPI:1548591191
Name:DONAHOE, PATRICK MICHAEL (EDD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:MICHAEL
Last Name:DONAHOE
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 SWINGLE HALL
Mailing Address - Street 2:MONTANA STATE UNIVERSITY
Mailing Address - City:BOZERMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59717-3180
Mailing Address - Country:US
Mailing Address - Phone:406-994-4531
Mailing Address - Fax:
Practice Address - Street 1:211 SWINGLE COUNSELING AND PSYCHOLOGICAL SERVICES
Practice Address - Street 2:MONTANA STATE UNIVERSITY
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59717-3180
Practice Address - Country:US
Practice Address - Phone:406-994-4531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT317101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional