Provider Demographics
NPI:1578678967
Name:GELNETT, DONNA JEAN (MA)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:JEAN
Last Name:GELNETT
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 1:1149 W SHARON RD
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-1537
Mailing Address - Country:US
Mailing Address - Phone:714-953-5993
Mailing Address - Fax:310-371-6927
Practice Address - Street 1:13512 WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-1934
Practice Address - Country:US
Practice Address - Phone:562-693-6106
Practice Address - Fax:562-693-6108
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1414231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist