Provider Demographics
NPI:1073351060
Name:O'NEIL, RANDIE (MA, PHD, LCADC)
Entity type:Individual
Prefix:
First Name:RANDIE
Middle Name:
Last Name:O'NEIL
Suffix:
Gender:F
Credentials:MA, PHD, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 BRYNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-2206
Mailing Address - Country:US
Mailing Address - Phone:201-247-6558
Mailing Address - Fax:
Practice Address - Street 1:202 BRYNWOOD DR
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-2206
Practice Address - Country:US
Practice Address - Phone:201-247-6558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional