Provider Demographics
NPI:1013270123
Name:SALVUCCI, DONNA MARIE (LP)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:MARIE
Last Name:SALVUCCI
Suffix:
Gender:F
Credentials:LP
Other - Prefix:MISS
Other - First Name:DONNA
Other - Middle Name:MARIE
Other - Last Name:TATE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LP
Mailing Address - Street 1:144 PINE GLEN RD
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-2343
Mailing Address - Country:US
Mailing Address - Phone:215-630-4337
Mailing Address - Fax:
Practice Address - Street 1:521 MOREDON ROAD
Practice Address - Street 2:HOLY REDEEMER COUNSELING CLINIC
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006
Practice Address - Country:US
Practice Address - Phone:215-938-1130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006838L103T00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty