Individual
MS. CONNIE CASEY ODONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
438 W LAS TUNAS DR, SAN GABRIEL VALLEY MEDICAL CENTER, SAN GABRIEL, CA 91776
(626) 570-6587
(626) 457-3257
Mailing address
1142 BOSTON STREET, ALTADENA, CA 91001-3122
(626) 791-3923
(626) 398-1186
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP3387
CA
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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