| Patrick T Oconnell Psy D Pa | |
|
13575 58th St N Suite 119 Clearwater FL 33760-3740 | |
| (727) 538-7714 | |
| (727) 799-0191 |
| Full Name | Patrick T Oconnell Psy D Pa |
|---|---|
| Speciality | Psychologist |
| Location | 13575 58th St N, Clearwater, Florida |
| Authorized Official Name and Position | Patrick T Oconnell (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7275387714 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick T Oconnell Psy D Pa 13575 58th St N Suite 119 Clearwater FL 33760-3740 Ph: (727) 538-7714 | Patrick T Oconnell Psy D Pa 13575 58th St N Suite 119 Clearwater FL 33760-3740 Ph: (727) 538-7714 |
| NPI Number | 1225211873 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 01/07/2008 |
| Medicare PECOS PAC ID | 9032171434 |
|---|---|
| Medicare Enrollment ID | O20041028000508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225211873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY5391 (Florida) | Primary |
| Provider Name | Patrick T Oconnell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770659682 PECOS PAC ID: 6204898612 Enrollment ID: I20041029000624 |
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