Provider Demographics
NPI:1255721759
Name:ONEAL, DERRANIECE MARGIE
Entity type:Individual
Prefix:MRS
First Name:DERRANIECE
Middle Name:MARGIE
Last Name:ONEAL
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:DERRANIECE
Other - Middle Name:MARGIE
Other - Last Name:ONEAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:98 W CLAIBORNE SQ
Mailing Address - Street 2:
Mailing Address - City:CHALMETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70043-4305
Mailing Address - Country:US
Mailing Address - Phone:504-858-9602
Mailing Address - Fax:
Practice Address - Street 1:2626 CHARLES DR
Practice Address - Street 2:
Practice Address - City:CHALMETTE
Practice Address - State:LA
Practice Address - Zip Code:70043-3779
Practice Address - Country:US
Practice Address - Phone:504-278-4006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-04
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst