Provider Demographics
NPI:1598387847
Name:DEADMAN, DONNA K (LPC)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:K
Last Name:DEADMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:K
Other - Last Name:GAMBOA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1400 PRESTON RD STE 300
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3603
Mailing Address - Country:US
Mailing Address - Phone:214-396-3960
Mailing Address - Fax:214-396-3962
Practice Address - Street 1:1400 PRESTON RD STE 300
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3603
Practice Address - Country:US
Practice Address - Phone:214-396-3960
Practice Address - Fax:214-396-3962
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-09
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68111101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional