Provider Demographics
NPI:1588439830
Name:RODRIGUES, DONNA LEE X (MA)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:LEE
Last Name:RODRIGUES
Suffix:X
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:LEE
Other - Last Name:ROOSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:155 PARK ST # 3
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-3020
Mailing Address - Country:US
Mailing Address - Phone:508-369-1852
Mailing Address - Fax:
Practice Address - Street 1:155 PARK ST # 3
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-3020
Practice Address - Country:US
Practice Address - Phone:508-369-1852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor