Provider Demographics
NPI:1225654460
Name:DONOHOO, SARINA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SARINA
Middle Name:
Last Name:DONOHOO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:SARINA
Other - Middle Name:
Other - Last Name:FIELDS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3659 COUNTRY CLUB DR UNIT C
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-3868
Mailing Address - Country:US
Mailing Address - Phone:562-884-4811
Mailing Address - Fax:
Practice Address - Street 1:3659 COUNTRY CLUB DR UNIT C
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-3868
Practice Address - Country:US
Practice Address - Phone:562-884-4811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-23
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31313235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist