Provider Demographics
NPI:1720337934
Name:O'CONNOR, NOREEN G (MHC)
Entity Type:Individual
Prefix:
First Name:NOREEN
Middle Name:G
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 GREENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HOPKINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01748-1183
Mailing Address - Country:US
Mailing Address - Phone:508-544-1566
Mailing Address - Fax:
Practice Address - Street 1:23 GREENWOOD RD
Practice Address - Street 2:
Practice Address - City:HOPKINTON
Practice Address - State:MA
Practice Address - Zip Code:01748-1183
Practice Address - Country:US
Practice Address - Phone:508-544-1566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-04
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
4444OtherBH/SOCIAL SERVICES