Individual
BRETT DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6586 PICASSO RD, ISLA VISTA, CA 93117-4651
(805) 699-6668
Mailing address
PO BOX 30910, SANTA BARBARA, CA 93130-0910
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
26685
CA
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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