Individual
MRS. ANDREA LEE O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
6960 DESTINY DR, SUITE 117, ROCKLIN, CA 95677-2993
(916) 415-0119
Mailing address
4712 STUART ST, ROCKLIN, CA 95765-5247
(916) 435-1065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 13240
CA
Other
Enumeration date
02/28/2008
Last updated
10/09/2008
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