Provider Demographics
NPI:1831441583
Name:ABBOTT, DONNA (SLPA)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:
Last Name:ABBOTT
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 S SCHUSTER AVE
Mailing Address - Street 2:GOLDENDALE PRIMARY SCHOOL
Mailing Address - City:GOLDENDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98620-9038
Mailing Address - Country:US
Mailing Address - Phone:509-773-4665
Mailing Address - Fax:
Practice Address - Street 1:820 S SCHUSTER AVE
Practice Address - Street 2:GOLDENDALE PRIMARY SCHOOL
Practice Address - City:GOLDENDALE
Practice Address - State:WA
Practice Address - Zip Code:98620-9038
Practice Address - Country:US
Practice Address - Phone:509-773-4665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant