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NPI Code Detail

MEDICARE: HEATHER LEIGH ONEILL PSY.D.

MEDICARE:   HEATHER LEIGH ONEILL  PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist20042402AIN
2103TC0700XClinical PsychologistPSY30720CA
3101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629113634
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER LEIGH ONEILL PSY.D.
Provider Business Mailing Address
First Line : 750 B ST STE 2870
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-8132
Country : US
Telephone Number : 619-722-0014
Fax Number : 619-327-4174
Provider Business Practice Location Address
First Line : 1045 9TH AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-5504
Country : US
Telephone Number : 619-235-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2007
Last Update Date : 05/15/2026

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