Individual
DENNIS P MCNEILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 552-6007
(402) 552-6225
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 552-6007
(402) 552-6225
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
419
NE
103TA0700X
Adult Development & Aging Psychologist
419
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078557539
—
NE
Enumeration date
05/11/2006
Last updated
06/29/2011
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