Provider Demographics
NPI:1568667590
Name:YARBROUGH, DONNA LAVOY (MA)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:LAVOY
Last Name:YARBROUGH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:LAVOY
Other - Last Name:SHELBY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:909 OAK VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-6271
Mailing Address - Country:US
Mailing Address - Phone:817-269-1982
Mailing Address - Fax:
Practice Address - Street 1:901 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2226
Practice Address - Country:US
Practice Address - Phone:817-335-3030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12187235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist