Provider Demographics
NPI:1750538351
Name:SOWULEWSKI, DONNA JOAN (MA CCC-A)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:JOAN
Last Name:SOWULEWSKI
Suffix:
Gender:F
Credentials:MA CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2800 W HIGGINS RD
Mailing Address - Street 2:SUITE 895
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2071
Mailing Address - Country:US
Mailing Address - Phone:847-843-1900
Mailing Address - Fax:847-843-1901
Practice Address - Street 1:1651 W LAKE LANSING RD
Practice Address - Street 2:SUITE 200
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-6337
Practice Address - Country:US
Practice Address - Phone:517-324-5704
Practice Address - Fax:517-324-7038
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000367231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist