| Doctor Name: | DR. DONNA J. BOTTENBERG |
| NPI Number: | 1699760918 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., CCC-SLP |
| License Number: | 00322107 |
| Business Practice Address: | Unc Speech And Audiology Clinic Gunter Hall Room 0330 Greeley, CO - 806390001 |
| Business Phone Number: | 9703512012 |
| Business Fax Number: | 9703511601 |
| Mailing Address: | 800 Hawkstone Dr, #23 EATON |
| State: | CO |
| Postal Code: | 806159037 |
| Phone Number: | 9704541996 |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 00322107 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |