Provider Demographics
NPI:1073696910
Name:O'NEILL, MARGARET E (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:E
Last Name:O'NEILL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1299 BRIARWOOD DR
Mailing Address - Street 2:APT 112
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-5966
Mailing Address - Country:US
Mailing Address - Phone:805-439-0156
Mailing Address - Fax:
Practice Address - Street 1:1299 BRIARWOOD DR
Practice Address - Street 2:APT 112
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-5966
Practice Address - Country:US
Practice Address - Phone:805-439-0156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY11824103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOCP11824AMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER