MRS. DONNA J MAZUR (NPI# 1811016082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811016082 |
| Entity Type | Individual |
| Full Name | MRS. DONNA J MAZUR |
| Credential | MS CCC-SLP |
| Practice Address |
240 Keokuk St Petaluma CA 94952-2727 |
| Practice Telephone | 7077622269 |
| Practice Fax Number | 7077622269 |
| Mailing Telephone | 7077622269 |
| Mailing Fax Number | 7077622269 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP13115 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
240 KEOKUK ST |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-2727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657952 | Brooke Amanda Gonterman | Speech-Language Pathologist | 628 Draco Dr, Petaluma, CA 94954-1599 | 2020-04-03 |
| 1376055053 | Danielle Melanephy | Speech-Language Pathologist | 420 Clearview Pl, Petaluma, CA 94952-4703 | 2017-11-02 |
| 1144760406 | Shayla Bonner | Speech-Language Pathologist | 1035 Stage Gulch Rd, Petaluma, CA 94954-9550 | 2017-03-06 |
| 1275916314 | Kara Phenix Gillis | Speech-Language Pathologist | 623 Elm Dr, Petaluma, CA 94952-1844 | 2015-07-07 |
| 1164822797 | Anne Marie Welensky | Speech-Language Pathologist | 1796 Northstar Dr, Petaluma, CA 94954-6663 | 2014-09-02 |
| 1417364142 | Molly Renee Williamson | Speech-Language Pathologist | 1516 Sarkesian Dr, Petaluma, CA 94954 | 2014-07-15 |
| 1942574728 | Ninette Fonseca Chicca | Speech-Language Pathologist | 55 Maria Dr, Suite 842, Petaluma, CA 94954-9283 | 2012-02-27 |
| 1134453178 | Ninette Fonseca-chicca Ms Speech and Language Pathologist-ccc A Profes | Speech-Language Pathologist | 1295 Petaluma Blvd N Ste 5, Petaluma, CA 94952-6530 | 2009-09-23 |
| 1144364407 | Deborah Lynne Davison | Speech-Language Pathologist | 1301 Redwood Way Ste 165, Petaluma, CA 94954-1136 | 2007-02-19 |
| 1043366198 | Elaine Maria Stevick | Speech-Language Pathologist | 1301 Redwood Way, Suite 165, Petaluma, CA 94954-1107 | 2007-01-25 |
| Find all providers in PETALUMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.