Provider Demographics
NPI:1679819247
Name:DONAGHEY, GENI (MS-CCC/SLP)
Entity Type:Individual
Prefix:
First Name:GENI
Middle Name:
Last Name:DONAGHEY
Suffix:
Gender:F
Credentials:MS-CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 SE 173RD AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-9581
Mailing Address - Country:US
Mailing Address - Phone:360-891-5980
Mailing Address - Fax:
Practice Address - Street 1:7212 NE 166TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98682-5196
Practice Address - Country:US
Practice Address - Phone:360-604-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-29
Last Update Date:2012-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist