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DR. LAURA L DONNELLY M.S., L.M.H.C., PSYD

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1750587606

Individual Registrant:
DR. LAURA L DONNELLY M.S., L.M.H.C., PSYD
Gender: F
Sole Proprietor

Location and contact information for practice:
650 SE 12TH ST APT 301  DANIA BEACH, FL 33004-4678 US
Tel: 954-445-1366  Fax: --

Contact information for business:
650 SE 12TH ST APT 301  DANIA BEACH, FL 33004-4678 US
Tel: 954-445-1366  Fax: --

Registration Information:
NPI: 1750587606
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
N101YM0800XBehavioral Health & Social Service Providers
Counselor
FLMH-4289

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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