Individual
BRIAN DAVID O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6900 RIDGE RD, PARMA, OH 44129-5650
(440) 887-1100
(440) 887-1103
Mailing address
6900 RIDGE RD, PARMA, OH 44129-5650
(440) 887-1100
(440) 887-1103
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
OH
175T00000X
Peer Specialist
Primary
APS.005488
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052054
—
OH
Enumeration date
07/01/2024
Last updated
02/02/2026
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