Provider Demographics
NPI:1174802458
Name:DRUMMOND, DONNA (MS, LPC)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:
Last Name:DRUMMOND
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1668 PEMBROOK RD
Mailing Address - Street 2:
Mailing Address - City:MAPLE GLEN
Mailing Address - State:PA
Mailing Address - Zip Code:19002-3165
Mailing Address - Country:US
Mailing Address - Phone:215-643-9789
Mailing Address - Fax:215-619-6752
Practice Address - Street 1:1668 PEMBROOK RD
Practice Address - Street 2:
Practice Address - City:MAPLE GLEN
Practice Address - State:PA
Practice Address - Zip Code:19002-3165
Practice Address - Country:US
Practice Address - Phone:215-643-9789
Practice Address - Fax:215-619-6752
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00049200101YA0400X
PAPC000525101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)