Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | PS06838L | PA |
NPI | 1013270123 |
---|---|
Provider Name | Ms. Donna Marie Salvucci |
First Address | Langhorne, PA 19047-2343 |
Second Address | Huntingdon Valley, PA 19006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2012 |
Last Update Date | 22/06/2012 |