Provider Demographics
NPI:1275127441
Name:ONEILL, ERIN CLAIRE
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:CLAIRE
Last Name:ONEILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 GLADSTONE ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02171-1016
Mailing Address - Country:US
Mailing Address - Phone:617-842-2140
Mailing Address - Fax:
Practice Address - Street 1:39 GLADSTONE ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02171-1016
Practice Address - Country:US
Practice Address - Phone:617-842-2140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst