| Neil F. O'donnell, Phd, P.c. | |
|
2150 S Airport Rd W Suitea Traverse City MI 49684-4705 | |
| (231) 929-9511 | |
| (231) 929-4790 |
| Full Name | Neil F. O'donnell, Phd, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 2150 S Airport Rd W, Traverse City, Michigan |
| Authorized Official Name and Position | Ann Clare O'donnell (PARTNER) |
| Authorized Official Contact | 2319299511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neil F. O'donnell, Phd, P.c. 2150 S Airport Rd W Suitea Traverse City MI 49684-4705 Ph: (231) 929-9511 | Neil F. O'donnell, Phd, P.c. 2150 S Airport Rd W Suitea Traverse City MI 49684-4705 Ph: (231) 929-9511 |
| NPI Number | 1720384415 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 01/28/2011 |
| Medicare PECOS PAC ID | 1557520004 |
|---|---|
| Medicare Enrollment ID | O20120302000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720384415 | NPI | - | NPPES |
| 68-0-B8-4532-0 | Other | MI | BLUE CROSS BLUE SHEILD MICHIGAN |
| 68-0-B8-1130-0 | Other | MI | BLUE CROSS BLUE SHEILD MICHIGAN |
| Provider Name | Neil F Odonnell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548300601 PECOS PAC ID: 3274792726 Enrollment ID: I20120307000045 |
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