Provider Demographics
NPI:1245549518
Name:WHITFIELD, DONNA E (MA, CCC SP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:E
Last Name:WHITFIELD
Suffix:
Gender:F
Credentials:MA, CCC SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 MONTEBELLO RD
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-3824
Mailing Address - Country:US
Mailing Address - Phone:845-357-4466
Mailing Address - Fax:
Practice Address - Street 1:50 MONTEBELLO RD
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-3824
Practice Address - Country:US
Practice Address - Phone:845-357-4466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004570235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist