Provider Demographics
NPI:1467491928
Name:DENNY, DONNA (A-SLP)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:DENNY
Suffix:
Gender:F
Credentials:A-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-6222
Mailing Address - Country:US
Mailing Address - Phone:281-428-3678
Mailing Address - Fax:281-427-8519
Practice Address - Street 1:2500 MARKET ST
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-6222
Practice Address - Country:US
Practice Address - Phone:281-428-3678
Practice Address - Fax:281-427-8519
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50697231HA2400X
TX14597235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1825655Medicaid
TX8T1464OtherBCBS
TX8652057OtherCIGNA