Doctor Name: | DR. DEBORAH A O'DONNELL |
NPI Number: | 1679701866 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 03958 |
Business Practice Address: | 48853 Havirland Rd Lexington Park, MD - 206533035 |
Business Phone Number: | 2408954345 |
Business Fax Number: | |
Mailing Address: | 48853 Havirland Rd, LEXINGTON PARK |
State: | MD |
Postal Code: | 206533035 |
Phone Number: | 2408954345 |
Fax Number: | |
NPI Enumeration Date: | 06/25/2009 |
NPI Last Update Date: | 06/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TF0000X |
License Number: | 03958 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Family |
Taxonomy Definition: |