Provider Demographics
NPI:1861034027
Name:DONOVAN, SARAH NEWBERRY (LPCC, MT-BC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:NEWBERRY
Last Name:DONOVAN
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Gender:F
Credentials:LPCC, MT-BC
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Mailing Address - Street 1:3490 LEXINGTON AVE N STE 205
Mailing Address - Street 2:
Mailing Address - City:SHOREVIEW
Mailing Address - State:MN
Mailing Address - Zip Code:55126-8044
Mailing Address - Country:US
Mailing Address - Phone:651-486-3808
Mailing Address - Fax:651-486-3858
Practice Address - Street 1:3490 LEXINGTON AVE N STE 205
Practice Address - Street 2:
Practice Address - City:SHOREVIEW
Practice Address - State:MN
Practice Address - Zip Code:55126-8044
Practice Address - Country:US
Practice Address - Phone:651-486-3808
Practice Address - Fax:651-486-3858
Is Sole Proprietor?:No
Enumeration Date:2019-10-09
Last Update Date:2019-10-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent