Doctor Name: | NEIL MACLEAN |
NPI Number: | 1912285222 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | EDD |
License Number: | 285 |
Business Practice Address: | 163 Second St Hallowell, ME - 043471130 |
Business Phone Number: | 2076226512 |
Business Fax Number: | |
Mailing Address: | 163 Second St, HALLOWELL |
State: | ME |
Postal Code: | 043471130 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/03/2011 |
NPI Last Update Date: | 08/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 285 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |