Provider Demographics
NPI:1689630782
Name:O'NEAL, STEVEN EVERETT (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:EVERETT
Last Name:O'NEAL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2346B DREW ST
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-3310
Mailing Address - Country:US
Mailing Address - Phone:727-580-4135
Mailing Address - Fax:727-669-2401
Practice Address - Street 1:2346B DREW ST
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-3310
Practice Address - Country:US
Practice Address - Phone:727-580-4135
Practice Address - Fax:727-669-2401
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6073103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical