Provider Demographics
NPI:1760531941
Name:MCDAVITT, DONNA E (MA)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:E
Last Name:MCDAVITT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:156 LOVELLS LANE
Mailing Address - Street 2:
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649
Mailing Address - Country:US
Mailing Address - Phone:508-539-3241
Mailing Address - Fax:508-539-3145
Practice Address - Street 1:61 INDUSTRIAL PARK ROAD
Practice Address - Street 2:SOUTH BAY MENTAL HEALTH
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360
Practice Address - Country:US
Practice Address - Phone:508-830-0000
Practice Address - Fax:508-746-8429
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health