Individual
DR. SAMANTHA S O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
500 VICTORY ROAD, SOUTHSHORE MENTAL HEALTH/ BAYVIEW, QUINCY, MA 02171
(617) 847-1926
Mailing address
32 PINE ST, FRANKLIN, MA 02038-2623
(401) 368-8921
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9413
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1312677
—
MA
01
—
685661
TUFTS
MA
01
—
M18708
BLUE CROSS
MA
Enumeration date
06/01/2007
Last updated
09/30/2011
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