DEBORAH A ODONNELL, PHD, CLINICAL PSYCHOLOGIST, LLC


Address: 41660 Courthouse Dr # 201c, Leonardtown, MD 20650-3887
Phone: 2405870457

DEBORAH A ODONNELL, PHD, CLINICAL PSYCHOLOGIST, LLC (NPI# 1477938215) 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) 1477938215
Entity Type Organization
Organization Name DEBORAH A ODONNELL, PHD, CLINICAL PSYCHOLOGIST, LLC
Practice Address 41660 Courthouse Dr # 201c
Leonardtown
MD 20650-3887
Mailing Address Po Box 1212
Leonardtown
MD 20650-1212
Practice Telephone 2405870457
Practice Fax Number 3014758810
Mailing Telephone 2405870457
Mailing Fax Number 3014758810
Enumeration Date 2015-07-22
Last Update Date 2019-04-11
Authorized Official Name DR. DEBORAH A O'DONNELL (OWNER, CLINICAL PSYCHOLOGIST)
Authorized Official Telephone 2405870457
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
03958 MD Behavioral Health & Social Service Providers

Office Location

Street Address 41660 COURTHOUSE DR # 201C
City LEONARDTOWN
State MD
Zip Code 20650-3887

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NPI Name Taxonomy Address Enumeration
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1891241519 Aaron Dailey Pharmacist 40955 Merchant Lane, Leonardtown, MD 20650 2016-09-01
1720483936 Joy Jay, Inc Dentist 41630 Courthouse Dr., Leonardtown, MD 20650 2014-10-30
1497092605 Deborah Ann Duley Social Worker 41660 Courthouse Drive, Suite 201c, Leonardtown, MD 20650 2013-01-08
1962757104 Sense-ability, LLC Occupational Therapy Assistant 41680 Miss Bessie Dr Ste 103, Leonardtown, MD 20650 2012-07-13
1578876264 Belitehorizonmedicalcenter Psychiatry & Neurology 26825 Pointlook Out Road, Stee, Leonardtown, MD 20650 2010-07-22
1043544497 Hanger Prosthetics & Orthotics Inc Durable Medical Equipment & Medical Supplies 41680 Courthouse Dr, Leonardtown, MD 20650 2009-10-01
1487892899 Valentina Savel Nurse Anesthetist, Certified Registered 25500 Pt Lookout Rd, Leonardtown, MD 20650 2009-01-23
1174786362 Henry Todd Allen Dentist 22690 Washington Street, Leonardtown, MD 20650 2008-07-08
1487813192 St Mar's County Dept of Human Services Public Health or Welfare 23115 Leonard Hall Drive, Department of Human Services, Leonardtown, MD 20650 2008-06-06
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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NPI Name Taxonomy Address Enumeration
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1356969802 Together We Rise LLC Psychologist 1014 W 36th St, Baltimore, MD 21211-2415 2020-07-10
1336769561 Breakthrough Therapeutic Concepts, LLC. Psychologist 408 Crain Hwy S Ste 6, Glen Burnie, MD 21061-3661 2020-04-17
1033772272 Stephanie Judd Psychologist 3901 Rosemary St, Chevy Chase, MD 20815-5223 2019-04-14
1942794870 Annie Rabinovitch Psychologist 1132 Annapolis Rd Ste 200, Odenton, MD 21113-1673 2018-06-14
1972094167 Bk Behavioral Health Center Psychologist 14300 Cherry Lane Ct # 202-203, Laurel, MD 20707-4958 2018-05-23
1336535319 Roderick Irving Wellington Psychologist 7050 Chesapeake Rd, Suite 104, Landover Hills, MD 20784-2347 2015-04-07
1225438344 Marjorie Katherine Mccalla Psychologist 720 Aliceanna St, Baltimore, MD 21202-4387 2014-08-26
1992122923 Kendel Wylie-pugh Psychologist 4309 Travancore Ct, Randallstown, MD 21133-1315 2014-03-27
1861816688 Valerie Gordon Slattery Psychologist 10205 Windsor View Dr, Potomac, MD 20854-4020 2014-02-13
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Competitor

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City LEONARDTOWN
Zip Code 20650

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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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