Doctor Name: | MRS. LISA DIANE NEUWEG |
NPI Number: | 1003948183 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, NCC |
License Number: | |
Business Practice Address: | 702 W Chestnut St Bloomington, IL - 617012814 |
Business Phone Number: | 3098276026 |
Business Fax Number: | |
Mailing Address: | 1112 Show Creek Ln, NORMAL |
State: | IL |
Postal Code: | 617614875 |
Phone Number: | 8473084153 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |