Individual
MARK E O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
161 WABAN HILL RD NORTH, CHESTNUT HILL, MA 02467-1054
(617) 630-8303
Mailing address
161 WABAN HILL RD N, CHESTNUT HILL, MA 02467-1054
(617) 630-8303
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4009
MA
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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