| Goldye P Donner Pc | |
|
6120 Brandon Ave Ste 116 Springfield VA 22150-2522 | |
| (703) 569-6492 | |
| (703) 569-0428 |
| Full Name | Goldye P Donner Pc |
|---|---|
| Speciality | Social Worker |
| Location | 6120 Brandon Ave, Springfield, Virginia |
| Authorized Official Name and Position | Goldye Perrin Donner (OWNER) |
| Authorized Official Contact | 7035696492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goldye P Donner Pc 6120 Brandon Ave Ste 116 Springfield VA 22150-2522 Ph: (703) 569-6492 | Goldye P Donner Pc 6120 Brandon Ave Ste 116 Springfield VA 22150-2522 Ph: (703) 569-6492 |
| NPI Number | 1396929055 |
|---|---|
| Provider Enumeration Date | 12/18/2007 |
| Last Update Date | 04/28/2008 |
| Medicare PECOS PAC ID | 4385710037 |
|---|---|
| Medicare Enrollment ID | O20080904000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396929055 | NPI | - | NPPES |
| 034113 | Other | VA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904000068 (Virginia) | Primary |
| Provider Name | Goldye P Donner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255310892 PECOS PAC ID: 7214003078 Enrollment ID: I20080904000359 |
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