Doctor Name: | DR. JOHN SCOTT NEIL |
NPI Number: | 1053339291 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | PS008553L |
Business Practice Address: | 1521 Washington Blvd Williamsport, PA - 177015426 |
Business Phone Number: | 5703225051 |
Business Fax Number: | 5703226788 |
Mailing Address: | 1521 Washington Blvd, WILLIAMSPORT |
State: | PA |
Postal Code: | 177015426 |
Phone Number: | 5703225051 |
Fax Number: | 5703226788 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 08/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | PS008553L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |