Provider Demographics
NPI:1033114780
Name:DONAHUE,LCSW, PAULETTE ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PAULETTE
Middle Name:ANN
Last Name:DONAHUE,LCSW
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:392 HEMLOCK CT
Mailing Address - Street 2:
Mailing Address - City:PGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-2639
Mailing Address - Country:US
Mailing Address - Phone:412-366-3978
Mailing Address - Fax:
Practice Address - Street 1:1017 PERRY HWY
Practice Address - Street 2:STE 3
Practice Address - City:PGH
Practice Address - State:PA
Practice Address - Zip Code:15237-2173
Practice Address - Country:US
Practice Address - Phone:412-366-3978
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW000249L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist