Provider Demographics
NPI:1285617829
Name:SCHWABER, DONNA GLOVER (AUD)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:GLOVER
Last Name:SCHWABER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:KAY
Other - Last Name:GLOVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:104 WOODMONT BLVD
Mailing Address - Street 2:STE LL-50
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2245
Mailing Address - Country:US
Mailing Address - Phone:615-386-2300
Mailing Address - Fax:615-386-2399
Practice Address - Street 1:4230 HARDING RD
Practice Address - Street 2:STE 400
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2013
Practice Address - Country:US
Practice Address - Phone:615-292-5191
Practice Address - Fax:615-386-2399
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNA0000001087231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
5825118OtherCIGNA
10027938OtherSIGNATURE HEALTH
1087546OtherUSA MANAGED CARE
TN4166464OtherBLUE CROSS/BLUE SHIELD
9891079OtherAETNA
TN1507679Medicaid
TN39670671Medicaid
TN1507679Medicaid