Provider Demographics
NPI:1396263042
Name:ALVUT, DONNA (CCC-SLP, BASLP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:ALVUT
Suffix:
Gender:F
Credentials:CCC-SLP, BASLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8201 LANGLEY DR
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-2207
Mailing Address - Country:US
Mailing Address - Phone:585-613-5955
Mailing Address - Fax:
Practice Address - Street 1:8201 LANGLEY DR
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-2207
Practice Address - Country:US
Practice Address - Phone:585-613-5955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-01
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2203000368235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist