Provider Demographics
NPI:1548685068
Name:DONO, MARI KAY (MS/CCCSLP)
Entity type:Individual
Prefix:
First Name:MARI KAY
Middle Name:
Last Name:DONO
Suffix:
Gender:F
Credentials:MS/CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3251 MOUNTVIEW RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-1811
Mailing Address - Country:US
Mailing Address - Phone:614-390-6925
Mailing Address - Fax:
Practice Address - Street 1:6539 SUMMIT RD SW
Practice Address - Street 2:
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062-9806
Practice Address - Country:US
Practice Address - Phone:740-927-6926
Practice Address - Fax:740-927-9043
Is Sole Proprietor?:No
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2815235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist