| Julie Odonnell Phd Llc | |
|
708 S Woodbine Rd Ste A Saint Joseph MO 64507 | |
| (816) 248-8929 | |
| (816) 873-1220 |
| Full Name | Julie Odonnell Phd Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 708 S Woodbine Rd Ste A, Saint Joseph, Missouri |
| Authorized Official Name and Position | Julie Ann Odonnell (OWNER) |
| Authorized Official Contact | 7852888172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Odonnell Phd Llc Po Box 8575 Saint Joseph MO 64508-8575 Ph: (816) 248-8929 | Julie Odonnell Phd Llc 708 S Woodbine Rd Ste A Saint Joseph MO 64507 Ph: (816) 248-8929 |
| NPI Number | 1295228344 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 07/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295228344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2018012574 (Missouri) | Primary |
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