Provider Demographics
NPI:1487545026
Name:DONADEO, BRETT (CCC-SLP)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:
Last Name:DONADEO
Suffix:
Gender:M
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 EDGEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:INDUSTRY
Mailing Address - State:PA
Mailing Address - Zip Code:15052-2115
Mailing Address - Country:US
Mailing Address - Phone:623-230-0218
Mailing Address - Fax:
Practice Address - Street 1:115 EDGEWOOD CIR
Practice Address - Street 2:
Practice Address - City:INDUSTRY
Practice Address - State:PA
Practice Address - Zip Code:15052-2115
Practice Address - Country:US
Practice Address - Phone:623-230-0218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSAH-2025-0187235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist