Provider Demographics
NPI:1750360038
Name:ALLEN, DONNA MAXFIELD (LMFT)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:MAXFIELD
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 WINDING COVE RD
Mailing Address - Street 2:
Mailing Address - City:ASHBURNHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01430-1091
Mailing Address - Country:US
Mailing Address - Phone:978-302-8661
Mailing Address - Fax:978-798-1890
Practice Address - Street 1:665 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-1815
Practice Address - Country:US
Practice Address - Phone:978-302-8661
Practice Address - Fax:978-798-1890
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-13
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1206106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist