WILLIAM O DONNELLY


Address: 429 W. College Ave, Donnelly Community Psychology, Pemberville, OH 43450
Phone: 4199721211

WILLIAM O DONNELLY (NPI# 1437146867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437146867
Entity Type Individual
Full Name WILLIAM O DONNELLY
Credential PH.D.
Practice Address 429 W. College Ave
Donnelly Community Psychology
Pemberville
OH 43450
Mailing Address Donnelly Community Psychology
429 W. College Avenue, Po Box 105
Pemberville
OH 43450-0105
Practice Telephone 4199721211
Mailing Telephone 4199721211
Enumeration Date 2005-09-30
Last Update Date 2011-11-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
2758 OH Behavioral Health & Social Service Providers

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Office Location

Street Address 429 W. COLLEGE AVE
DONNELLY COMMUNITY PSYCHOLOGY
City PEMBERVILLE
State OH
Zip Code 43450

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1396243069 Ags Holding LLC Pharmacy 209 Bierley Ave, Pemberville, OH 43450-7003 2018-01-29
1184907115 Pemberville Drug Store LLC Pharmacy 139 E Front St # 897, Pemberville, OH 43450-7032 2011-09-26
1881868784 Portage Valley Hearing, LLC Clinic/Center 133 E Front St, Pemberville, OH 43450-7032 2008-04-22
1881766418 Pemberville Drug Store LLC Durable Medical Equipment & Medical Supplies 143 E Front St, Pemberville, OH 43450-7032 2006-11-15
1750467783 John T Archer & Associates Inc Optometrist 213 E Front St, Pemberville, OH 43450-7036 2006-10-31
1285860528 Portage River Rehab Occupational Therapist 222 E Front St, Ste 3, Pemberville, OH 43450-7105 2009-06-01
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City PEMBERVILLE
Zip Code 43450

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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