Provider Demographics
NPI:1073664611
Name:SMETANA, DONNA K (PHD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:K
Last Name:SMETANA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 KING CIR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76501-2663
Mailing Address - Country:US
Mailing Address - Phone:254-231-8758
Mailing Address - Fax:
Practice Address - Street 1:1424 MARTIN LUTHER KING JR LN
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-5941
Practice Address - Country:US
Practice Address - Phone:254-231-8758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32952103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical