Provider Demographics
NPI:1134448822
Name:DONOHUE, DEVON MARTINDALE (MA, LCMHC, ATR)
Entity type:Individual
Prefix:MS
First Name:DEVON
Middle Name:MARTINDALE
Last Name:DONOHUE
Suffix:
Gender:F
Credentials:MA, LCMHC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 PORTSMOUTH AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:STRATHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03885-6528
Mailing Address - Country:US
Mailing Address - Phone:585-902-9012
Mailing Address - Fax:
Practice Address - Street 1:1245 WASHINGTON RD FL 2
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NH
Practice Address - Zip Code:03870-2339
Practice Address - Country:US
Practice Address - Phone:585-902-9012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-20
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2122101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health