Individual
MS. DONNA LEE GOTTARDI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSCCC/SLP
Contact information
Practice address
2817 REILLY RD, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-7324
(910) 907-7332
(910) 907-8485
Mailing address
714 BROUGHAM RD, FAYETTEVILLE, NC 28311-0306
(910) 488-6844
(910) 488-6844
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
153
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153
LICENSE NUMBER
NC
Enumeration date
03/15/2006
Last updated
07/08/2007
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