Provider Demographics
NPI:1053194779
Name:DONOVAN, MARKAYLA (MFT)
Entity type:Individual
Prefix:
First Name:MARKAYLA
Middle Name:
Last Name:DONOVAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 KRAPF LN
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-1278
Mailing Address - Country:US
Mailing Address - Phone:484-574-7412
Mailing Address - Fax:
Practice Address - Street 1:107 KRAPF LN
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-1278
Practice Address - Country:US
Practice Address - Phone:484-574-7412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health