Provider Demographics
NPI:1134393820
Name:HELLENKAMP, DONELLA
Entity type:Individual
Prefix:
First Name:DONELLA
Middle Name:
Last Name:HELLENKAMP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 HIGH HOUSE RD STE 130
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-7201
Mailing Address - Country:US
Mailing Address - Phone:919-636-3006
Mailing Address - Fax:919-342-0817
Practice Address - Street 1:401 HIGH HOUSE RD STE 130
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-7201
Practice Address - Country:US
Practice Address - Phone:919-636-3006
Practice Address - Fax:919-342-0817
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5049231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist