Provider Demographics
NPI:1609002575
Name:ROLIN, DONNA GAIL (PHD, PMHCNS, PMHNP)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:GAIL
Last Name:ROLIN
Suffix:
Gender:F
Credentials:PHD, PMHCNS, PMHNP
Other - Prefix:DR
Other - First Name:DONNA
Other - Middle Name:GAIL
Other - Last Name:ROLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, PMHCNS, PMHNP
Mailing Address - Street 1:5424 WEST US HWY 290
Mailing Address - Street 2:SUITE 108
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-7873
Mailing Address - Country:US
Mailing Address - Phone:512-430-1130
Mailing Address - Fax:512-677-6806
Practice Address - Street 1:5424 W HIGHWAY 290 STE 108
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-8827
Practice Address - Country:US
Practice Address - Phone:512-430-1130
Practice Address - Fax:512-677-6806
Is Sole Proprietor?:No
Enumeration Date:2009-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX645035163WP0807X, 163WP0809X
NY587519-1163WP0808X
TXRN645035 AP121535364SP0809X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult