Provider Demographics
NPI:1568179208
Name:TARKETT, DONNA (MA)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:TARKETT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2628 MCCORD ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2509
Mailing Address - Country:US
Mailing Address - Phone:412-613-4753
Mailing Address - Fax:
Practice Address - Street 1:2628 MCCORD ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-2509
Practice Address - Country:US
Practice Address - Phone:412-613-4753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health