Individual
NATASHA BROOKE O'DONNELL
Active
Individual
NATASHA BROOKE O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP, LMLP
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LCP1450
KS
103TC0700X
Clinical Psychologist
LMLP2436
KS
103TC0700X
Clinical Psychologist
T-LMLP 1395
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200737670E
—
KS
Enumeration date
08/30/2011
Last updated
07/21/2022
Update your record
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