Doctor Name: | ROSA LEE NEAVES |
NPI Number: | 1023176781 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPA |
License Number: | 1374 |
Business Practice Address: | 2415a Morganton Blvd Sw Lenoir, NC - 286459691 |
Business Phone Number: | 8287575685 |
Business Fax Number: | 8286954256 |
Mailing Address: | 840 Moore Rd, LANSING |
State: | NC |
Postal Code: | 286438855 |
Phone Number: | 8287575685 |
Fax Number: | 8286954256 |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 1374 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |