Provider Demographics
NPI:1326349937
Name:DONAH, AMIE T (PHD)
Entity Type:Individual
Prefix:MRS
First Name:AMIE
Middle Name:T
Last Name:DONAH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4905 DICKENS RD STE 104
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-1953
Mailing Address - Country:US
Mailing Address - Phone:804-918-5706
Mailing Address - Fax:804-918-5706
Practice Address - Street 1:4905 DICKENS RD STE 104
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-1953
Practice Address - Country:US
Practice Address - Phone:804-918-5706
Practice Address - Fax:804-918-5213
Is Sole Proprietor?:No
Enumeration Date:2010-11-12
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAD810004337103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical