Provider Demographics
NPI:1811370489
Name:DONAHUE, RYAN FRANCIS (CSW)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:FRANCIS
Last Name:DONAHUE
Suffix:
Gender:M
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 ELAINE DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40219-4906
Mailing Address - Country:US
Mailing Address - Phone:502-387-9877
Mailing Address - Fax:
Practice Address - Street 1:4010 DUPONT CIRCLE SUITE 226
Practice Address - Street 2:DAVE HARMON AND ASSOCIATES
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4847
Practice Address - Country:US
Practice Address - Phone:502-896-8006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-01
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY7049104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker