Provider Demographics
NPI:1023760196
Name:ONEAL, FAITH ELIZABETH
Entity type:Individual
Prefix:MRS
First Name:FAITH
Middle Name:ELIZABETH
Last Name:ONEAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 BROOKHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-2732
Mailing Address - Country:US
Mailing Address - Phone:270-227-5124
Mailing Address - Fax:
Practice Address - Street 1:2100 BROOKHAVEN DR
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-2732
Practice Address - Country:US
Practice Address - Phone:270-227-5124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty