Individual
GILLIAN DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH/LANG PATH
Contact information
Practice address
600 JACKSON ST, FREDERICKSBURG, VA 22401-5719
(540) 373-3223
Mailing address
16836 FOUR SEASONS DR, DUMFRIES, VA 22025-3616
(703) 680-6516
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202000592
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036802
SENTARA
VA
01
—
192571
ANTHEM HEALTHKEEP PLUS
VA
01
—
245465
MDIPA
VA
05
—
4978145
—
VA
Enumeration date
10/05/2006
Last updated
07/09/2007
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