| Organization Name: | TIMOTHY J. MCNEISH, PH. D. LLC |
| NPI Number: | 1255523783 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY J. MCNEISH (OWNER/PSYCHOLOGIST) |
| Mailing Address: | 1951 Newark Granville Rd Granville |
| State: | OH US |
| Postal Code: | 430239170 |
| Phone Number: | 7405874434 |
| Fax Number: | 7405871362 |
| NPI Enumeration Date: | 08/17/2007 |
| NPI Last Update Date: | 10/15/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |