Individual
DR. SHANNON O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-8503
Mailing address
1000 10TH AVE, NEW YORK, NY 10019-1147
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
023345
NY
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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