Individual
AMELIA JAYNE O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1000 S STERLING ST, MORGANTON, NC 28655-3938
(882) 860-8400
(910) 451-0698
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 451-5125
(910) 451-0698
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
2209
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0327Q
BCBS
NC
01
—
187863
MEDCOST
NC
05
—
6000425
—
NC
Enumeration date
03/02/2007
Last updated
08/26/2021
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