O'Connell, Michael J

O'Connell, Michael J is an individual health care provider with primary practice located at 9501 Old Annapolis Rd 125, Ellicott City MD 21042-6314. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. O'Connell, Michael J can be contacted via phone (410) 997-1063.

Contact Information

Primary practice address
9501 Old Annapolis Rd 125 Ellicott City MD 21042-6314
Phone: (410) 997-1063
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY1000032 District of Columbia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 03219 Maryland

Profile Details

NPI number 1346316296
LBN Legal business name O'Connell, Michael J
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2006
Last updated May 9th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346316296 NPPES
District of Columbia Other H360-0011 BCBS

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