| Deborah A Odonnell, Phd, Clinical Psychologist, Llc | |
|
41660 Courthouse Dr # 201c Leonardtown MD 20650-3887 | |
| (240) 587-0457 | |
| (301) 475-8810 |
| Full Name | Deborah A Odonnell, Phd, Clinical Psychologist, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 41660 Courthouse Dr # 201c, Leonardtown, Maryland |
| Authorized Official Name and Position | Deborah A O'donnell (OWNER, CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2405870457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah A Odonnell, Phd, Clinical Psychologist, Llc Po Box 1212 Leonardtown MD 20650-1212 Ph: (240) 587-0457 | Deborah A Odonnell, Phd, Clinical Psychologist, Llc 41660 Courthouse Dr # 201c Leonardtown MD 20650-3887 Ph: (240) 587-0457 |
| NPI Number | 1477938215 |
|---|---|
| Provider Enumeration Date | 07/22/2015 |
| Last Update Date | 04/11/2019 |
| Medicare PECOS PAC ID | 5698184364 |
|---|---|
| Medicare Enrollment ID | O20210510001381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477938215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 03958 (Maryland) | Primary |
| Provider Name | Deborah A O'donnell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679701866 PECOS PAC ID: 6507275278 Enrollment ID: I20210510001450 |
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