Provider Demographics
NPI:1790903938
Name:DONAHUE, SARAH JANE (MA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:DONAHUE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 CASS ST
Mailing Address - Street 2:APARTMENT 3
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4992
Mailing Address - Country:US
Mailing Address - Phone:603-969-2552
Mailing Address - Fax:
Practice Address - Street 1:100 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:MERRIMAC
Practice Address - State:MA
Practice Address - Zip Code:01860
Practice Address - Country:US
Practice Address - Phone:978-346-4646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health