Individual
LAURA DONATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
77 LILLEY AVE, SAYRE, PA 18840-9258
(570) 888-7766
Mailing address
133 HEMLOCK RD, APT. 103, SAYRE, PA 18840-7960
(570) 903-2592
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1875
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014423480001
—
PA
Enumeration date
07/11/2016
Last updated
07/11/2016
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