Doctor Name: | DR. STEPHEN CLAY NEAL |
NPI Number: | 1083620561 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | |
Business Practice Address: | 45 S 3rd Ave Avondale, AZ - 853232264 |
Business Phone Number: | 6237725156 |
Business Fax Number: | |
Mailing Address: | 7958 W Hazelwood St, PHOENIX |
State: | AZ |
Postal Code: | 850331861 |
Phone Number: | 6239809330 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 07/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |