Provider Demographics
NPI:1144540279
Name:ST.ROMAIN, DONNA SCHWARTZ (CCC-SP)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:SCHWARTZ
Last Name:ST.ROMAIN
Suffix:
Gender:F
Credentials:CCC-SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9612 GARDEN OAK LN
Mailing Address - Street 2:
Mailing Address - City:RIVER RIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70123-2006
Mailing Address - Country:US
Mailing Address - Phone:504-606-2870
Mailing Address - Fax:
Practice Address - Street 1:9612 GARDEN OAK LN
Practice Address - Street 2:
Practice Address - City:RIVER RIDGE
Practice Address - State:LA
Practice Address - Zip Code:70123-2006
Practice Address - Country:US
Practice Address - Phone:504-606-2870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1341235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist