Doctor Name: | MR. RICHARD FRANCIS MCNEILL |
NPI Number: | 1255447009 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 1380 |
Business Practice Address: | 215 North Main Street Va Medical Center White River Junction, VT - 05009 |
Business Phone Number: | 9782830296 |
Business Fax Number: | |
Mailing Address: | 215 North Main Street, Va Medical Center WHITE RIVER JUNCTION |
State: | VT |
Postal Code: | 05009 |
Phone Number: | 8022959363 |
Fax Number: | 8022965188 |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 11/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1380 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |