Organization
JOHN N. O'NEIL, PH.D., L.P., LLC
Active
Organization
JOHN N. O'NEIL, PH.D., L.P., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN NOLEN O'NEIL PH.D. (LICENSED PSYCHOLOGIST)
(612) 455-6167
Entity
Organization
Contact information
Practice address
825 NICOLLET MALL, 1735 MEDICAL ARTS BUILDING, MINNEAPOLIS, MN 55402-2704
(612) 455-6167
(612) 333-6740
Mailing address
825 NICOLLET MALL, 1735 MEDICAL ARTS BUILDING, MINNEAPOLIS, MN 55402-2704
(612) 455-6167
(612) 333-6740
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4307
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013764200
—
MN
01
—
169041
UCARE
MN
01
—
49F69ON
BLUE CROSS BLUE SHIELD
MN
01
—
6169449
MEDICA
—
01
—
HP40630
HEALTH PARTNERS
MN
Enumeration date
10/26/2006
Last updated
05/06/2008
Update your record
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