O'Connell, Samantha S

O'Connell, Samantha S is an individual health care provider with primary practice located at 500 Victory Road Southshore Mental Health/ Bayview, Quincy MA 02171. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. O'Connell, Samantha S can be contacted via phone (617) 847-1926.

Contact Information

Primary practice address
500 Victory Road Southshore Mental Health/ Bayview Quincy MA 02171
Phone: (617) 847-1926
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 9413 Massachusetts

Profile Details

NPI number 1669674867
LBN Legal business name O'Connell, Samantha S
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
Last updated Sep 30th, 2011 - about 15 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 1669674867 NPPES
Massachusetts Other 685661 TUFTS
Massachusetts MEDICAID 1312677 TUFTS
Massachusetts Other M18708 TUFTS

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