Doctor Name: | ELIZABETH CARBERY NEAL |
NPI Number: | 1003972357 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 068-0000069 |
Business Practice Address: | 242 Eastern Ave St Johnsbury, VT - 058192644 |
Business Phone Number: | 8027481700 |
Business Fax Number: | |
Mailing Address: | 6222 Scott Hwy, GROTON |
State: | VT |
Postal Code: | 050467609 |
Phone Number: | 8025843939 |
Fax Number: | |
NPI Enumeration Date: | 12/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 068-0000069 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |