Provider Demographics
NPI:1760633069
Name:CASEY O'NEAL, PH.D.
Entity Type:Organization
Organization Name:CASEY O'NEAL, PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:O'NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:512-294-5444
Mailing Address - Street 1:595 ROUND ROCK WEST DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-5011
Mailing Address - Country:US
Mailing Address - Phone:512-294-5444
Mailing Address - Fax:512-628-3223
Practice Address - Street 1:595 ROUND ROCK WEST DR
Practice Address - Street 2:SUITE 104
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5011
Practice Address - Country:US
Practice Address - Phone:512-294-5444
Practice Address - Fax:512-628-3223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-05
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33694103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty