Provider Demographics
NPI:1700023744
Name:ISRAEL, DONNA ALEXANDER (PHD, RD, LPC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:ALEXANDER
Last Name:ISRAEL
Suffix:
Gender:F
Credentials:PHD, RD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13490 T I BLVD
Mailing Address - Street 2:STE 102
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-1533
Mailing Address - Country:US
Mailing Address - Phone:972-238-1811
Mailing Address - Fax:972-690-3755
Practice Address - Street 1:13490 T I BLVD
Practice Address - Street 2:STE 102
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1533
Practice Address - Country:US
Practice Address - Phone:972-238-1811
Practice Address - Fax:972-690-3755
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-13
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1635101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX751986471OtherEIN