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NPI Code Detail

MEDICARE: MS. DONNA KAY STUHLSATZ LICENSED PROFESSIONA

MEDICARE: MS. DONNA KAY STUHLSATZ LICENSED PROFESSIONA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorC-0001884OH

General Provider Information

NPI Number : 1215057302
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DONNA KAY STUHLSATZ LICENSED PROFESSIONA
Provider Business Mailing Address
First Line : 301 BEARDSLEY RD
Second Line :
City : TROTWOOD
State : OH
Zip : 45426-2711
Country : US
Telephone Number : 937-548-1635
Fax Number : 937-548-1635
Provider Business Practice Location Address
First Line : 212 E MAIN ST
Second Line :
City : GREENVILLE
State : OH
Zip : 45331-1913
Country : US
Telephone Number : 937-548-1635
Fax Number : 937-548-1500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2007
Last Update Date : 07/08/2007

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