Provider Demographics
NPI:1790133270
Name:YETTO, DONNA (ITDS)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:YETTO
Suffix:
Gender:F
Credentials:ITDS
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:M
Other - Last Name:PEASLEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5825 LANATE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-4737
Mailing Address - Country:US
Mailing Address - Phone:727-277-2395
Mailing Address - Fax:727-213-6246
Practice Address - Street 1:5825 LANATE AVE
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4737
Practice Address - Country:US
Practice Address - Phone:727-277-2395
Practice Address - Fax:727-213-6246
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-25
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist