Individual
WILLIAM ODONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3612 ISLAND DR, N TOPSAIL BEACH, NC 28460-8204
(910) 328-3334
Mailing address
PO BOX 458, N TOPSAIL BEACH, NC 28460-0458
(910) 328-3334
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0521
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04337
BCBS
NC
Enumeration date
03/22/2007
Last updated
07/09/2007
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