Provider Demographics
NPI:1750264917
Name:DONOVAN, MARGARET CHRISTINA
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:CHRISTINA
Last Name:DONOVAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 WINCHESTER ST APT 2
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-6452
Mailing Address - Country:US
Mailing Address - Phone:484-894-8250
Mailing Address - Fax:
Practice Address - Street 1:400 LEXINGTON ST
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-0944
Practice Address - Country:US
Practice Address - Phone:484-894-8250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No253J00000XAgenciesFoster Care Agency