| Sabine Odonnell Llc | |
|
80 Halls Rd Old Lyme CT 06371 | |
| (860) 388-8029 | |
| Not Available |
| Full Name | Sabine Odonnell Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 80 Halls Rd, Old Lyme, Connecticut |
| Authorized Official Name and Position | Sabine O'donnell (OWNER) |
| Authorized Official Contact | 8603888029 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sabine Odonnell Llc 3 Hillwood Rd E Old Lyme CT 06371-1416 Ph: (860) 388-8029 | Sabine Odonnell Llc 80 Halls Rd Old Lyme CT 06371 Ph: (860) 388-8029 |
| NPI Number | 1134761877 |
|---|---|
| Provider Enumeration Date | 10/15/2019 |
| Last Update Date | 10/15/2019 |
| Medicare PECOS PAC ID | 8325485220 |
|---|---|
| Medicare Enrollment ID | O20240327003376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134761877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Sabine Odonnell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396390787 PECOS PAC ID: 1052758950 Enrollment ID: I20240327003418 |
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