Active NPI
Mary E Donaldson, SLP
- Speech-Language Pathologist
- Dothan, AL
National Provider Identifier
1356591010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2750
- Practice address
- 718 Honeysuckle Rd
Dothan, AL 36305-1104 - Phone
- (334) 792-0921
- Fax
- (334) 671-1936
- NPI assigned
- Sep 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2750 | AL | Primary |
Addresses
Primary practice location
718 Honeysuckle Rd
Dothan, AL 36305-1104
Mailing address
718 Honeysuckle Rd
Dothan, AL 36305-1104
Phone (334) 792-0921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2750 | AL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1356591010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 HONEYSUCKLE RD",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051104",
"telephone_number": "334-792-0921",
"fax_number": "334-671-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 HONEYSUCKLE RD",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051104",
"telephone_number": "334-792-0921",
"fax_number": "334-671-1936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALDSON",
"first_name": "MARY",
"middle_name": "E",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "2750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.