Provider Demographics
NPI:1831245224
Name:STRUCK, DONNA M (PSY D, LPC)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:STRUCK
Suffix:
Gender:F
Credentials:PSY D, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 LANCASTER BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-4495
Mailing Address - Country:US
Mailing Address - Phone:717-697-7260
Mailing Address - Fax:717-697-7262
Practice Address - Street 1:1150 LANCASTER BLVD STE 101
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-4495
Practice Address - Country:US
Practice Address - Phone:717-697-7260
Practice Address - Fax:717-697-7262
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003227101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional