Provider Demographics
NPI:1851716112
Name:D'AMORE, DONALD (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:D'AMORE
Suffix:
Gender:M
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29570 DORCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-5048
Mailing Address - Country:US
Mailing Address - Phone:440-235-1323
Mailing Address - Fax:
Practice Address - Street 1:29570 DORCHESTER DR
Practice Address - Street 2:
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-5048
Practice Address - Country:US
Practice Address - Phone:440-235-1323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-3332235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist