| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SCOTT EDWARD DONOVAN | 1821212879 | 2024-04-08 |
Scott Edward Donovan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1821212879. Registration indicates Scott Edward Donovan is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers) (Behavioral Health & Social Service Providers, Marriage & Family Therapist) (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Scott Edward Donovan LMFT |
| Practice Office Address | 18888 OUTER HWY 18 STE 205 APPLE VALLEY, CA US |
| Practice Office Telephone | 7609615370 |
| Mailing Address | 18888 US HIGHWAY 18 STE 106 APPLE VALLEY, CA 923072315 US |
| Business Telephone | 7609615370 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 17800 US Highway 18 | Apple Valley, CA 923071221 | 7609468200 228 |
| Code | Practice | License No State |
|---|---|---|
| 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | |
| 106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | 101211
CA |