Individual
DR. SUSAN ELIZABETH O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
211 S 8TH ST, COLUMBIA, MO 65201-4868
(573) 882-4677
(573) 882-4583
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2005038112
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490086636
—
MO
Enumeration date
01/09/2007
Last updated
10/05/2022
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