Healthcare Provider Details

I. General information

NPI: 1285644070
Provider Name (Legal Business Name): SHAUN ONEAL PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 7TH ST S STE 100
ST PETERSBURG FL
33701-4719
US

IV. Provider business mailing address

603 7TH ST S STE 100
ST PETERSBURG FL
33701-4719
US

V. Phone/Fax

Practice location:
  • Phone: 727-553-7240
  • Fax: 727-553-7241
Mailing address:
  • Phone: 727-553-7240
  • Fax: 727-553-7241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY7351
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: