Individual
DR. JOHN SCOTT NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1521 WASHINGTON BLVD, WILLIAMSPORT, PA 17701-5426
(570) 322-5051
(570) 322-6788
Mailing address
1521 WASHINGTON BLVD, WILLIAMSPORT, PA 17701-5426
(570) 322-5051
(570) 322-6788
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
PS008553L
PA
103TC1900X
Counseling Psychologist
PS008553L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS008553L
PA
103TF0200X
Forensic Psychologist
PS008553L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042795
VALUE OPTIONS
PA
01
—
092560000
MAGELLAN
PA
05
—
1015369010001
—
PA
01
—
12214
CIGNA BEHAVIORAL HEALTH
PA
01
—
272093
HIGHMARK BLUE SHIELD
PA
01
—
680015447
RAILROAD MEDICARE
PA
01
—
805505
FIRST PRIORITY HEALTH
PA
Enumeration date
07/17/2006
Last updated
04/12/2018
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