Provider Demographics
NPI:1770670549
Name:DONEGAL, KARLIN ANTOINETTE (PHD)
Entity Type:Individual
Prefix:DR
First Name:KARLIN
Middle Name:ANTOINETTE
Last Name:DONEGAL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6610 N UNIVERSITY DR
Mailing Address - Street 2:STE 220
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-4000
Mailing Address - Country:US
Mailing Address - Phone:954-720-0412
Mailing Address - Fax:954-720-0824
Practice Address - Street 1:7051 W. COMMERCIAL BLVD
Practice Address - Street 2:SUITE #3A
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33319-2146
Practice Address - Country:US
Practice Address - Phone:954-720-0412
Practice Address - Fax:954-720-0824
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6151103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK2173Medicare ID - Type UnspecifiedPROVIDER#