| Doctor Name: | MISS KIMBERLY SUE NEAL |
| NPI Number: | 1023028628 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | |
| Business Practice Address: | 4700 Bureau Rd N Terre Haute, IN - 478028246 |
| Business Phone Number: | 8122444539 |
| Business Fax Number: | |
| Mailing Address: | 11806 Neal Ln, TERRE HAUTE |
| State: | IN |
| Postal Code: | 478028014 |
| Phone Number: | 8128982014 |
| Fax Number: | |
| NPI Enumeration Date: | 08/08/2006 |
| NPI Last Update Date: | 09/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |