Provider Demographics
NPI:1700191830
Name:BASSI, DONNA L (RD, LDN)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:L
Last Name:BASSI
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 CONSTITUTION CT
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-9583
Mailing Address - Country:US
Mailing Address - Phone:724-250-7870
Mailing Address - Fax:724-250-7611
Practice Address - Street 1:202 CONSTITUTION CT
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-9583
Practice Address - Country:US
Practice Address - Phone:724-250-7870
Practice Address - Fax:724-250-7611
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN001070133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered