| Doctor Name: | JEFFREY O'DONNELL |
| NPI Number: | 1144432931 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 08599 |
| Business Practice Address: | 536 Trimble Rd Joppa, MD - 210854035 |
| Business Phone Number: | 4108934600 |
| Business Fax Number: | 4105690094 |
| Mailing Address: | 2227 Old Emmorton Road, Suite 119 BEL AIR |
| State: | MD |
| Postal Code: | 21015 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 08599 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |