Provider Demographics
NPI:1790818805
Name:STEWART, DONNA M (BS)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:M
Last Name:STEWART
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:M
Other - Last Name:CRUMETY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:502 WINFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-2122
Mailing Address - Country:US
Mailing Address - Phone:610-734-5794
Mailing Address - Fax:
Practice Address - Street 1:112 N BROAD ST
Practice Address - Street 2:8TH FL
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1510
Practice Address - Country:US
Practice Address - Phone:215-568-0860
Practice Address - Fax:215-568-0769
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor