Provider Demographics
NPI:1477984888
Name:TOLL, DONNA
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:TOLL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 STRATHMORE RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-3722
Mailing Address - Country:US
Mailing Address - Phone:610-449-6067
Mailing Address - Fax:610-891-7008
Practice Address - Street 1:126 STRATHMORE RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-3722
Practice Address - Country:US
Practice Address - Phone:610-449-6067
Practice Address - Fax:610-891-7008
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL000738L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist