Doctor Name: | COURTNEY O'NEILL |
NPI Number: | 1336522713 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2202007881 |
Business Practice Address: | 4560 South Blvd Ste 310 Virginia Beach, VA - 234521160 |
Business Phone Number: | 7574903223 |
Business Fax Number: | 7574902936 |
Mailing Address: | 4560 South Blvd Ste 310, VIRGINIA BEACH |
State: | VA |
Postal Code: | 234521160 |
Phone Number: | 7574903223 |
Fax Number: | 7574902936 |
NPI Enumeration Date: | 07/03/2015 |
NPI Last Update Date: | 07/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202007881 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |