Provider Demographics
NPI:1558475749
Name:GAAL, DONNA
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:GAAL
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 1:5 SEABROOK LANDING DR
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-1347
Mailing Address - Country:US
Mailing Address - Phone:843-681-3694
Mailing Address - Fax:843-681-4327
Practice Address - Street 1:5 SEABROOK LANDING DR
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-1347
Practice Address - Country:US
Practice Address - Phone:843-681-3694
Practice Address - Fax:843-681-4327
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC762235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist