Provider Demographics
NPI:1801222823
Name:NORMAN, DONNA JACQUELIN (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:JACQUELIN
Last Name:NORMAN
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 1:3221 BEAVERWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-3063
Mailing Address - Country:US
Mailing Address - Phone:240-426-0612
Mailing Address - Fax:
Practice Address - Street 1:4400 IOWA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5604
Practice Address - Country:US
Practice Address - Phone:202-576-6130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist