Provider Demographics
NPI:1144433087
Name:O'CONNOR, MAURICE PATRICK (PSYCHOLOGIST)
Entity type:Individual
Prefix:DR
First Name:MAURICE
Middle Name:PATRICK
Last Name:O'CONNOR
Suffix:
Gender:M
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2412 N NARROWS DR
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-2315
Mailing Address - Country:US
Mailing Address - Phone:253-752-0587
Mailing Address - Fax:
Practice Address - Street 1:2412 N NARROWS DR
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-2315
Practice Address - Country:US
Practice Address - Phone:253-752-0587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60114577103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical