| Doctor Name: | DR. THOMAS PATRICK O'DONNELL |
| NPI Number: | 1144385816 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ED.D. |
| License Number: | SS166 |
| Business Practice Address: | 194 Denmark Dr Ellenton, FL - 342223418 |
| Business Phone Number: | 9415181804 |
| Business Fax Number: | 9417452482 |
| Mailing Address: | 194 Denmark Dr, ELLENTON |
| State: | FL |
| Postal Code: | 342223418 |
| Phone Number: | 9415181804 |
| Fax Number: | 9417452482 |
| NPI Enumeration Date: | 12/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | SS166 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |