Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 2716 | MA |
Y | 103TC0700X | Clinical Psychologist | 2716 | MA |
N | 103TH0100X | Health Service | 2716 | MA |
NPI | 1619060001 |
---|---|
Provider Name | Dr. Donald Paul Corriveau |
First Address | Fall River, MA 02720-5421 |
Second Address | Fall River, MA 02721-1733 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2006 |
Last Update Date | 17/08/2011 |