Individual
ALISON J DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., ABPP
Contact information
Practice address
2919 W SWANN AVE STE 201, TAMPA, FL 33609-4050
(813) 381-5200
Mailing address
3107 N JULIA CIR, TAMPA, FL 33629-8819
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY 7488
FL
103TC0700X
Clinical Psychologist
PY 7488
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5935Y
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/06/2007
Last updated
11/15/2021
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