Samantha S O'Connell in Quincy - Clinical
Samantha S O'Connell - NPI 1669674867
Samantha S O'Connell is a Clinical in Quincy, Massachusetts. Samantha S O'Connell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Samantha S O'Connell is 1669674867. The last update date is 2011-09-30.
Samantha S O'Connell's current location address is 500 Victory Road, Quincy, Massachusetts. You can contact this provider via phone number 6178471926. The mailing address for Samantha S O'Connell is 500 Victory Road, Quincy, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samantha S O'Connell |
|---|---|
| Address | 500 Victory Road, Quincy, Massachusetts |
| Phone Number | 6178471926 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1669674867 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2011-09-30 |
Provider Mailing Address Detail
| Address | 500 Victory Road |
|---|---|
| City | Quincy |
| State | Massachusetts (MA) |
| Post Code | 2171 |
| Phone Number | 6178471926 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 9413 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 685661 | MA | TUFTS | |
| 1312677 | MA | -- | |
| M18708 | MA | BLUE CROSS |
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What is the unique provider identifier assigned to Samantha S O'Connell?
The Samantha S O'Connell has been issued the NPI (National Provider Identifier) 1669674867 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Samantha S O'Connell?
The Samantha S O'Connell is physically situated at 500 Victory Road, in the city of Quincy, state of MA, with the postal code 2171.
What is Samantha S O'Connell's specialized field of practice, and what is the corresponding taxonomy classification code?
The Samantha S O'Connell's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Samantha S O'Connell receive the assignment of its 1669674867 from the Centers for Medicare & Medicaid Services?
The Samantha S O'Connell was issued its 1669674867 by the Centers for Medicare & Medicaid Services on 2007-06-01.
When was the information regarding Samantha S O'Connell most recently updated?
The details pertaining to the Samantha S O'Connell, including its address, specialty, and other relevant information, were last refreshed on 2011-09-30.