Provider Demographics
NPI:1538274139
Name:O'MEARA, DENISE VALLEQUETTE (LMHC)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:VALLEQUETTE
Last Name:O'MEARA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 SPRINGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02770-2106
Mailing Address - Country:US
Mailing Address - Phone:508-763-9607
Mailing Address - Fax:508-763-9607
Practice Address - Street 1:24B SANDWICH RD
Practice Address - Street 2:
Practice Address - City:WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02571-1628
Practice Address - Country:US
Practice Address - Phone:508-965-2584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3724101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health