Doctor Name: | DR. ERIN M. ODONOHUE |
NPI Number: | 1245569268 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 178.006421 |
Business Practice Address: | 13011 S 104th Ave Ste 200 Palos Park, IL - 604641500 |
Business Phone Number: | 1708448330 |
Business Fax Number: | |
Mailing Address: | 640 N. River Road, Suite 108 NAPERVILLE |
State: | IL |
Postal Code: | 60563 |
Phone Number: | 6307180717 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2009 |
NPI Last Update Date: | 05/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 178.006421 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |