| Donna L Donati Psyd Pa | |
|
2533 Permit Pl New Port Richey FL 34655-4519 | |
| (727) 421-5329 | |
| Not Available |
| Full Name | Donna L Donati Psyd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 2533 Permit Pl, New Port Richey, Florida |
| Authorized Official Name and Position | Donna Lynn Donati-waddell (PRESIDENT) |
| Authorized Official Contact | 7274215329 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donna L Donati Psyd Pa 649 Heatherwood Ct Tarpon Springs FL 34688-7283 Ph: (727) 421-5329 | Donna L Donati Psyd Pa 2533 Permit Pl New Port Richey FL 34655-4519 Ph: (727) 421-5329 |
| NPI Number | 1407202039 |
|---|---|
| Provider Enumeration Date | 05/12/2016 |
| Last Update Date | 05/18/2022 |
| Certification Date | 05/18/2022 |
| Medicare PECOS PAC ID | 4688953300 |
|---|---|
| Medicare Enrollment ID | O20161119000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407202039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Donna L Donati-waddell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962434621 PECOS PAC ID: 1951353010 Enrollment ID: I20050216000878 |
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