Individual
MR. MICHAEL R DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1306B W 39TH 1/2 ST, AUSTIN, TX 78756-3906
(512) 387-1172
Mailing address
1306B W 39TH 1/2 ST, AUSTIN, TX 78756-3906
(415) 533-6971
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
36861
TX
103TC0700X
Clinical Psychologist
Primary
PSY25096
CA
Other
Enumeration date
09/04/2008
Last updated
03/16/2021
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