| John N. O'neil, Ph.d., L.p., Llc | |
|
825 Nicollet Mall 1735 Medical Arts Building Minneapolis MN 55402-2704 | |
| (612) 455-6167 | |
| (612) 333-6740 |
| Full Name | John N. O'neil, Ph.d., L.p., Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 825 Nicollet Mall, Minneapolis, Minnesota |
| Authorized Official Name and Position | John Nolen O'neil (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6124556167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John N. O'neil, Ph.d., L.p., Llc 825 Nicollet Mall 1735 Medical Arts Building Minneapolis MN 55402-2704 Ph: (612) 455-6167 | John N. O'neil, Ph.d., L.p., Llc 825 Nicollet Mall 1735 Medical Arts Building Minneapolis MN 55402-2704 Ph: (612) 455-6167 |
| NPI Number | 1306921275 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 05/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306921275 | NPI | - | NPPES |
| 169041 | Other | MN | UCARE |
| 6169449 | Other | MEDICA | |
| 013764200 | Medicaid | MN | |
| 49F69ON | Other | MN | BLUE CROSS BLUE SHIELD |
| HP40630 | Other | MN | HEALTH PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP4307 (Minnesota) | Primary |
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