Individual
DR. KATHRYN G O'NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, MS
Contact information
Practice address
1275 WAMPANOAG TRL, RIVERSIDE, RI 02915-1217
(401) 405-0700
Mailing address
1275 WAMPANOAG TRL, RIVERSIDE, RI 02915-1217
(401) 405-0700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PS02303
RI
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
09/07/2021
Last updated
11/22/2024
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