Provider Demographics
NPI:1720757578
Name:O'NEIL, KATHRYN G (PSYD, MS)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:G
Last Name:O'NEIL
Suffix:
Gender:F
Credentials:PSYD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 CENTRAL SQ STE 300
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3707
Mailing Address - Country:US
Mailing Address - Phone:603-355-2244
Mailing Address - Fax:
Practice Address - Street 1:23 CENTRAL SQ STE 300
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3707
Practice Address - Country:US
Practice Address - Phone:603-355-2244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-07
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No101Y00000XBehavioral Health & Social Service ProvidersCounselor