| Doctor Name: | MR. MICHAEL DAVID NEIDIG |
| NPI Number: | 1013112879 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW, LCAS |
| License Number: | C001567 |
| Business Practice Address: | 50 Emerald Ln Highlands, NC - 287418891 |
| Business Phone Number: | 8285243268 |
| Business Fax Number: | 8283496039 |
| Mailing Address: | 50 Emerald Ln, HIGHLANDS |
| State: | NC |
| Postal Code: | 287418891 |
| Phone Number: | 8285243268 |
| Fax Number: | 8283496039 |
| NPI Enumeration Date: | 06/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | C001567 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |