| Doctor Name: | DR. LAURA L DONNELLY |
| NPI Number: | 1750587606 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., L.M.H.C., PSYD |
| License Number: | MH-4289 |
| Business Practice Address: | 650 Se 12th St Apt 301 Dania Beach, FL - 330044678 |
| Business Phone Number: | 9544451366 |
| Business Fax Number: | |
| Mailing Address: | 650 Se 12th St Apt 301, DANIA BEACH |
| State: | FL |
| Postal Code: | 330044678 |
| Phone Number: | 9544451366 |
| Fax Number: | |
| NPI Enumeration Date: | 06/26/2007 |
| NPI Last Update Date: | 05/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH-4289 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |