Individual
DR. PETER JOSEPH O'DONNELL
Active
Individual
DR. PETER JOSEPH O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC002531
PA
103G00000X
Clinical Neuropsychologist
PS006518L
PA
103TC0700X
Clinical Psychologist
Primary
PS006518L
PA
103TH0100X
Health Service Psychologist
PS006518L
PA
Other
Enumeration date
09/30/2005
Last updated
09/15/2019
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