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Individual

MICHAEL SCOTT MCNEIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1502 N 1ST ST, ABILENE, TX 79601-5602
(325) 672-9999
(325) 672-5237
Mailing address
1502 N 1ST ST, ABILENE, TX 79601-5602
(325) 672-9999
(325) 672-5237

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
30810
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
277162YQLY
MEDICARE PTAN
TX
05
286884604
TX
Enumeration date
06/05/2011
Last updated
11/11/2024
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