Provider Demographics
NPI:1255836896
Name:O'DONOHUE PARTNERS LLC
Entity Type:Organization
Organization Name:O'DONOHUE PARTNERS LLC
Other - Org Name:LONG GROVE PSYCHOLOGICAL ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:O'DONOHUE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:630-235-5876
Mailing Address - Street 1:515 E 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-3207
Mailing Address - Country:US
Mailing Address - Phone:630-235-5876
Mailing Address - Fax:
Practice Address - Street 1:4160 RFD STE 307
Practice Address - Street 2:
Practice Address - City:LONG GROVE
Practice Address - State:IL
Practice Address - Zip Code:60047-9586
Practice Address - Country:US
Practice Address - Phone:630-235-5876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.007909103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty