Gary Lee Donovan, PSYCHOLOGIST is a
Marriage & Family Therapist based in Benson, Minnesota. Gary Lee Donovan is licensed to practice in Minnesota (license number 782) and his current practice location is
640 Atlantic Ave, Counseling Associates Of Wc Minnesota, Benson, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(320) 843-3454.
NPI number for Gary Lee Donovan is 1396892089 and his current mailing address is 1009 W 4th St, Morris, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396892089.
Healthcare Provider's Profile
| Full Name | Gary Lee Donovan |
|---|
| Gender | Male |
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| Speciality | Marriage & Family Therapist |
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| Location | 640 Atlantic Ave, Benson, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396892089
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Gary Lee Donovan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396892089 | NPI | - | NPPES |
| 25Y93DO | Other | MN | BCBS |
| 943101014248 | Other | MN | PREFERRED 1 |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | LP2839 (Minnesota) | Primary |
| 1041C0700X | Social Worker - Clinical | LICSW 6209 (Minnesota) | Primary |
| 106H00000X | Marriage & Family Therapist | 782 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gary Lee Donovan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gary Lee Donovan, PSYCHOLOGIST
1009 W 4th St,
Morris, MN 56267-2031
Ph: (320) 589-4648 | Gary Lee Donovan, PSYCHOLOGIST
640 Atlantic Ave, Counseling Associates Of Wc Minnesota,
Benson, MN 56215-1381
Ph: (320) 843-3454 |
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