| Doctor Name: | MS. GWENDOLYN DENISE NEAL |
| NPI Number: | 1013191485 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RC, BS |
| License Number: | RC00029496 |
| Business Practice Address: | 9108 Lakewood Dr Sw Lakewood, WA - 984993949 |
| Business Phone Number: | 2535816202 |
| Business Fax Number: | |
| Mailing Address: | 9330 59th Ave Sw, LAKEWOOD |
| State: | WA |
| Postal Code: | 984992858 |
| Phone Number: | 2535817020 |
| Fax Number: | |
| NPI Enumeration Date: | 12/20/2007 |
| NPI Last Update Date: | 12/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | RC00029496 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |