Doctor Name: | NATALIE MCNEELY |
NPI Number: | 1821462789 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 000000 |
Business Practice Address: | 6775 Point Pleasant Rd Millwood, WV - 252628100 |
Business Phone Number: | 3042730112 |
Business Fax Number: | 3042730115 |
Mailing Address: | Po Box 470, POINT PLEASANT |
State: | WV |
Postal Code: | 255500470 |
Phone Number: | 3042730113 |
Fax Number: | 3042730115 |
NPI Enumeration Date: | 11/16/2015 |
NPI Last Update Date: | 11/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 000000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |