Individual
DONNA J VANNATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
14945 LEE HIGHWAY, AMISSVILLE, VA 20106
(540) 222-6875
(540) 937-4640
Mailing address
14945 LEE HIGHWAY, AMISSVILLE, VA 20106
(540) 222-6875
(540) 937-4640
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0129631
NY
103T00000X
Psychologist
Primary
0810003256
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010014590
—
VA
Enumeration date
08/17/2006
Last updated
07/08/2010
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