Provider Demographics
NPI:1942361431
Name:DONNELLY, MEGHAN MARIE (MA)
Entity Type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:MARIE
Last Name:DONNELLY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:615 PIIKOI ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3116
Mailing Address - Country:US
Mailing Address - Phone:808-589-1829
Mailing Address - Fax:808-246-2592
Practice Address - Street 1:615 PIIKOI ST
Practice Address - Street 2:SUITE 203
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3116
Practice Address - Country:US
Practice Address - Phone:808-589-1829
Practice Address - Fax:808-246-2592
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health