Individual
DR. GEORGE W O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1401 13TH AVE E, WEST FARGO, ND 58078-3468
(701) 364-0060
(701) 364-0065
Mailing address
1401 13TH AVE E, WEST FARGO, ND 58078-3468
(701) 364-0060
(701) 364-0065
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
96
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16974
—
ND
01
—
21783
BLUECROSS/SHIELD-NO DAK
ND
01
—
284S8ON
BLUECROSS/SHIELD-MINNESOT
MN
01
—
475441026989
PREFERRED ONE
—
01
—
61-77285
MEDICA (UBH)
—
01
—
HP22980
HEALTHPARTNERS
—
Enumeration date
01/23/2006
Last updated
01/29/2008
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