Provider Demographics
NPI:1689920795
Name:POWERS, DONNA JOAN (MS/SLP TSHH)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:JOAN
Last Name:POWERS
Suffix:
Gender:F
Credentials:MS/SLP TSHH
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:JOAN
Other - Last Name:THAYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS/SLP TSHH
Mailing Address - Street 1:51 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-4333
Mailing Address - Country:US
Mailing Address - Phone:716-478-4750
Mailing Address - Fax:
Practice Address - Street 1:51 HIGH ST
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-4333
Practice Address - Country:US
Practice Address - Phone:716-478-4750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist