Provider Demographics
NPI:1457381501
Name:DONOHUE, MARGARET ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ANN
Last Name:DONOHUE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:MARGARET
Other - Middle Name:ANN
Other - Last Name:MCNICHOLL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:25470 SHEFFIELD LN
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-3011
Mailing Address - Country:US
Mailing Address - Phone:661-255-7171
Mailing Address - Fax:
Practice Address - Street 1:135 S JACKSON ST STE 204
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4918
Practice Address - Country:US
Practice Address - Phone:818-389-8384
Practice Address - Fax:310-289-8581
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0503103G00000X
CAPSY9038103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist