Individual
DR. ELLEN MARY O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SC.D., CCC-A
Contact information
Practice address
200 SPRINGS RD, BLDG 78, RM 358B, BEDFORD, MA 01730-1114
(781) 687-3342
Mailing address
200 SPRINGS RD, BLDG 78, RM 358B, BEDFORD, MA 01730-1114
(781) 687-3342
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
297
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AD0124
BLUE CROSS
MA
Enumeration date
11/09/2006
Last updated
06/08/2016
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