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Individual

MR. ROBERT ONEILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED.

Contact information

Practice address
2001 SW LANCE AVE, PORT ST LUCIE, FL 34953-2173
(772) 353-2420
Mailing address
2001 SW LANCE AVE, PORT ST LUCIE, FL 34953-2173
(772) 353-2420

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS-927
FL

Other

Enumeration date
04/06/2013
Last updated
04/06/2013
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