Doctor Name: | MRS. JULIE REED NEAL |
NPI Number: | 1013984277 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPA |
License Number: | 1530 |
Business Practice Address: | 132 Poplar Grove Connector Suite B Boone, NC - 286075915 |
Business Phone Number: | 8282648759 |
Business Fax Number: | 8282625687 |
Mailing Address: | 132 Poplar Grove Connector, Suite B BOONE |
State: | NC |
Postal Code: | 286075915 |
Phone Number: | 8282648759 |
Fax Number: | 8282625687 |
NPI Enumeration Date: | 03/07/2006 |
NPI Last Update Date: | 09/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 1530 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |