Provider Demographics
NPI:1669166203
Name:ONEIL, CATHERINE ANNE (PHD, DOULA)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:ANNE
Last Name:ONEIL
Suffix:
Gender:F
Credentials:PHD, DOULA
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:A
Other - Last Name:ONEIL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:KATIE
Mailing Address - Street 1:403 W OLIVER ST
Mailing Address - Street 2:
Mailing Address - City:OWOSSO
Mailing Address - State:MI
Mailing Address - Zip Code:48867-2251
Mailing Address - Country:US
Mailing Address - Phone:989-666-7440
Mailing Address - Fax:
Practice Address - Street 1:111 E MAIN ST
Practice Address - Street 2:
Practice Address - City:OWOSSO
Practice Address - State:MI
Practice Address - Zip Code:48867-3132
Practice Address - Country:US
Practice Address - Phone:989-472-3856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula