Mrs Lise G O'neill, MA, LPC | |
Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | |
(860) 533-3434 | |
(860) 647-6829 |
Full Name | Mrs Lise G O'neill |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | Manchester Memorial Hospital, Manchester, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942350467 | NPI | - | NPPES |
004025177 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 000529 (Connecticut) | Primary |
Entity Name | Prospect Manchester Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316394638 PECOS PAC ID: 9234423625 Enrollment ID: O20160926000570 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lise G O'neill, MA, LPC 20 Northfield St, Manchester, CT 06042-2335 Ph: (860) 646-9794 | Mrs Lise G O'neill, MA, LPC Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 Ph: (860) 533-3434 |
Sarah Zwarick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 587 E Middle Tpke, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132 | |
Ms. Karen Franes Foley-schain, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 245 Redwood Rd, Manchester, CT 06040 Phone: 860-508-0332 | |
Krista Nordmark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 587 E Middle Tpke, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132 | |
Sylvester Esangbedo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Center St, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132 | |
Elsa Reyes, Counselor Medicare: Medicare Enrolled Practice Location: 444 Center St, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132 | |
Aliya E Jasensky, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Center St, Manchester, CT 06040 Phone: 860-646-3888 | |
Lynda Dyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Center St, Manchester, CT 06040 Phone: 860-646-3888 |