Provider Demographics
NPI:1902137359
Name:PIHL, DONNA FULTON
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:FULTON
Last Name:PIHL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 LONDONDERRY WAY
Mailing Address - Street 2:
Mailing Address - City:UXBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01569-1266
Mailing Address - Country:US
Mailing Address - Phone:508-278-7358
Mailing Address - Fax:
Practice Address - Street 1:26 LONDONDERRY WAY
Practice Address - Street 2:
Practice Address - City:UXBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01569-1266
Practice Address - Country:US
Practice Address - Phone:508-278-7358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-25
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health