Provider Demographics
NPI:1952858540
Name:UZOIGWE, DONNA JOHNSON (MS)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:JOHNSON
Last Name:UZOIGWE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1427 CRESPI DRIVE
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-3607
Mailing Address - Country:US
Mailing Address - Phone:415-215-8783
Mailing Address - Fax:
Practice Address - Street 1:1427 CRESPI DRIVE
Practice Address - Street 2:
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-3607
Practice Address - Country:US
Practice Address - Phone:415-215-8783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11377235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist