Provider Demographics
NPI:1679809495
Name:GASIOR, DONNA (MS LLP)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:
Last Name:GASIOR
Suffix:
Gender:F
Credentials:MS LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 E JOLLY RD
Mailing Address - Street 2:CEI CMHC CRISIS SERVICES
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-6818
Mailing Address - Country:US
Mailing Address - Phone:517-346-8312
Mailing Address - Fax:517-346-8446
Practice Address - Street 1:812 E JOLLY RD
Practice Address - Street 2:CEI CMHC CRISIS SERVICES
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-6818
Practice Address - Country:US
Practice Address - Phone:517-346-8312
Practice Address - Fax:517-346-8446
Is Sole Proprietor?:No
Enumeration Date:2009-10-29
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301013468103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical