Provider Demographics
NPI:1205059011
Name:DONALDSON, GAIL IRENE (MS CCC SLP)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:IRENE
Last Name:DONALDSON
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:PO BOX 423
Mailing Address - Street 2:
Mailing Address - City:CLINTONVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16372-0423
Mailing Address - Country:US
Mailing Address - Phone:814-758-9201
Mailing Address - Fax:814-385-6121
Practice Address - Street 1:705 DONALDSON ROAD
Practice Address - Street 2:
Practice Address - City:CLINTONVILLE
Practice Address - State:PA
Practice Address - Zip Code:16372-0423
Practice Address - Country:US
Practice Address - Phone:814-758-9201
Practice Address - Fax:814-385-6121
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL005839L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist