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
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