O'Neill, Lise G.

O'Neill, Lise G. is an individual health care provider with primary practice located at Manchester Memorial Hospital 71 Haynes St, Manchester CT 06042. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. O'Neill, Lise G. can be contacted via phone (860) 533-3434.

Contact Information

Primary practice address
Manchester Memorial Hospital 71 Haynes St Manchester CT 06042
Phone: (860) 533-3434
Fax: (860) 647-6829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 000529 Connecticut

Profile Details

NPI number 1942350467
LBN Legal business name O'Neill, Lise G.
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jul 30th, 2018 - about 7 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 1942350467 NPPES
Connecticut MEDICAID 004025177

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