Provider Demographics
NPI:1427469014
Name:A. LOUIS O'CONNOR PH.D.
Entity type:Organization
Organization Name:A. LOUIS O'CONNOR PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:O'CONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:305-296-8759
Mailing Address - Street 1:15 BAMBOO TER
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-6240
Mailing Address - Country:US
Mailing Address - Phone:305-296-8759
Mailing Address - Fax:305-743-3819
Practice Address - Street 1:15 BAMBOO TER
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-6240
Practice Address - Country:US
Practice Address - Phone:305-296-8759
Practice Address - Fax:305-743-3819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY2482103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL74149Medicare PIN