Provider Demographics
NPI:1619901683
Name:MACNEIL, DONNA M (CCC-A)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:MACNEIL
Suffix:
Gender:F
Credentials:CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BERKELEY CT
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-5617
Mailing Address - Country:US
Mailing Address - Phone:202-536-8030
Mailing Address - Fax:
Practice Address - Street 1:10 BERKELEY CT
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-5617
Practice Address - Country:US
Practice Address - Phone:202-536-8030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT001127L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist