Doctor Name: | NOEL DAVID NEU |
NPI Number: | 1346469392 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, LMHC |
License Number: | MH8954 |
Business Practice Address: | 1408 N Killian Dr Suite 208 Lake Park, FL - 334031962 |
Business Phone Number: | 5618459488 |
Business Fax Number: | |
Mailing Address: | 1408 N Killian Dr, Suite 208 LAKE PARK |
State: | FL |
Postal Code: | 334031962 |
Phone Number: | 5618459488 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH8954 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |