Individual
MRS. CARA JEAN JEAN O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
2204 MOUNTAIN RD, GLEN ALLEN, VA 23060-2232
(804) 261-5085
Mailing address
2204 MOUNTAIN RD, GLEN ALLEN, VA 23060-2232
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000426
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0813000426
COMMONWEALTH OF VIRGINIA BOARD OF PSYCHOLOGY
VA
Enumeration date
08/07/2017
Last updated
08/07/2017
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