Individual
SIOBHAN DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5116 DORSEY HALL DR STE B, ELLICOTT CITY, MD 21042-7877
(410) 995-8274
Mailing address
5116 DORSEY HALL DR STE B, ELLICOTT CITY, MD 21042-7877
(917) 584-5702
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019370
NY
Other
Enumeration date
07/02/2014
Last updated
02/20/2019
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