Provider Demographics
NPI:1578011557
Name:KUMPF, DONNA M (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:M
Last Name:KUMPF
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 WINDY WAY
Mailing Address - Street 2:
Mailing Address - City:NEW CUMBERLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17070-2854
Mailing Address - Country:US
Mailing Address - Phone:717-440-6249
Mailing Address - Fax:
Practice Address - Street 1:517 WINDY WAY
Practice Address - Street 2:
Practice Address - City:NEW CUMBERLAND
Practice Address - State:PA
Practice Address - Zip Code:17070-2854
Practice Address - Country:US
Practice Address - Phone:717-440-6249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL009831235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist