| Doctor Name: | MS. CONNIE CASEY ODONNELL |
| NPI Number: | 1356417844 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | SP3387 |
| Business Practice Address: | 438 W Las Tunas Dr San Gabriel Valley Medical Center San Gabriel, CA - 91776 |
| Business Phone Number: | 6265706587 |
| Business Fax Number: | 6264573257 |
| Mailing Address: | 1142 Boston Street, ALTADENA |
| State: | CA |
| Postal Code: | 910013122 |
| Phone Number: | 6267913923 |
| Fax Number: | 6263981186 |
| NPI Enumeration Date: | 11/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP3387 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |