Provider Demographics
NPI:1710149422
Name:O'NEILL, DANIEL FRANCIS (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:FRANCIS
Last Name:O'NEILL
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 FLAGSTONE CT
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-9457
Mailing Address - Country:US
Mailing Address - Phone:717-314-3298
Mailing Address - Fax:
Practice Address - Street 1:2938 COLUMBIA AVE
Practice Address - Street 2:MANOR WEST COMMONS SUITE 302
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-7000
Practice Address - Country:US
Practice Address - Phone:717-314-3298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005051L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAON554581Medicare PIN