Provider Demographics
NPI:1356708937
Name:CAFRITZ, DONNA (MA,CCC-A)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:CAFRITZ
Suffix:
Gender:F
Credentials:MA,CCC-A
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 341803
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20827-1803
Mailing Address - Country:US
Mailing Address - Phone:301-469-6233
Mailing Address - Fax:301-469-0407
Practice Address - Street 1:9525 HEMSWELL PL
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-4274
Practice Address - Country:US
Practice Address - Phone:301-469-6233
Practice Address - Fax:301-469-0407
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-27
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00381231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
45-01609OtherEVERCARE
CA234202Medicare UPIN