Provider Demographics
NPI:1447498803
Name:MEYER, DONNA MARIA (MA)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:MARIA
Last Name:MEYER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:577 BROWN BROOK RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06488-1046
Mailing Address - Country:US
Mailing Address - Phone:203-264-9445
Mailing Address - Fax:
Practice Address - Street 1:120 PARK LANE RD
Practice Address - Street 2:SUITE A102
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-2444
Practice Address - Country:US
Practice Address - Phone:860-229-8887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-23
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional