O'Donnell, Ann Clare
O'Donnell, Ann Clare is an sole proprietor health care provider with primary practice located at 2150 S Airport Rd W Suite A, Traverse City MI 49684-4705. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. O'Donnell, Ann Clare can be contacted via phone (231) 929-9511.Contact Information
Primary practice address
2150 S Airport Rd W Suite A
Traverse City MI 49684-4705
Phone: (231) 929-9511
Fax: (231) 929-4790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301011799 | Michigan |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 6301011799 | Michigan |
Profile Details
| NPI number | 1760521314 |
|---|---|
| LBN Legal business name | O'Donnell, Ann Clare |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jan 28th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760521314 | NPPES |
| Michigan | Other | 68-0-B8-1130-0 | BLUE CROSS |
| Michigan | Other | 467872 | BLUE CROSS |
| Michigan | Other | 11413109 | BLUE CROSS |
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