O'Donnell, Kim Marie

O'Donnell, Kim Marie is an sole proprietor health care provider with primary practice located at 142 Elm St , Cheshire CT 06410-2808. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, 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, Kim Marie can be contacted via phone (203) 668-2223.

Contact Information

Primary practice address
142 Elm St Cheshire CT 06410-2808
Phone: (203) 668-2223
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 002084 Connecticut
Behavioral Health & Social Service Providers / Clinical 103TC0700X 002084 Connecticut
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 002084 Connecticut

Profile Details

NPI number 1043547763
LBN Legal business name O'Donnell, Kim Marie
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2009
Last updated Nov 17th, 2009 - about 16 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.

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