KATHLEEN ANN ODWYER MA MED.LCPC NCC NPI 1649837188

NPI Information

NPI: 1649837188
Provider Name: KATHLEEN ANN ODWYER, MA, MED.,LCPC, NCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3317 W 95TH ST STE 101
EVERGREEN PARK, IL
ZIP 60805
Phone: (708) 529-3011
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Kathleen Ann Odwyer, MA, MED.,LCPC, NCC is a mental health counselor in Evergreen Park, IL. Kathleen Ann Odwyer, MA, MED.,LCPC, NCC NPI is 1649837188. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3317 W 95TH ST STE 101
EVERGREEN PARK, IL
ZIP 60805-243
Phone: (708) 529-3011
Fax: (708) 529-3207

The enumeration date for this NPI number is 5/21/2019 and was last updated on 2/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	180.015861	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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