Provider Demographics
NPI:1205981040
Name:DIDONATO, MARIA (DED)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:DIDONATO
Suffix:
Gender:F
Credentials:DED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:388 TALL MEADOW LANE
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-6402
Mailing Address - Country:US
Mailing Address - Phone:215-321-9502
Mailing Address - Fax:
Practice Address - Street 1:301 OXFORD VALLEY RD SUITE 703B
Practice Address - Street 2:MAKEFIELD EXECUTIVE QUARTERS
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067
Practice Address - Country:US
Practice Address - Phone:215-321-9502
Practice Address - Fax:215-321-0222
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006554103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist