Provider Demographics
NPI:1902966526
Name:FIEDLER, DONNA (PHD LCSW MSW)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:FIEDLER
Suffix:
Gender:F
Credentials:PHD LCSW MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 BUSE ST
Mailing Address - Street 2:
Mailing Address - City:RIDLEY PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19078
Mailing Address - Country:US
Mailing Address - Phone:610-586-2796
Mailing Address - Fax:
Practice Address - Street 1:800 CHESTER PIKE
Practice Address - Street 2:NORTHWESTERN HUMAN SERVICES OF DELAWARE COUNTY
Practice Address - City:SHARON HILL
Practice Address - State:PA
Practice Address - Zip Code:19079
Practice Address - Country:US
Practice Address - Phone:610-534-3636
Practice Address - Fax:610-534-2907
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW000720L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical