Individual
DR. MARK A. NEVILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.ED.
Contact information
Practice address
2400 REACH RD, WILLIAMSPORT, PA 17701-4381
(570) 323-8561
(570) 323-1738
Mailing address
PO BOX 3609, 2400 REACH ROAD, WILLIAMSPORT, PA 17701-8609
(570) 323-8561
(570) 323-1738
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017129
PA
103TS0200X
School Psychologist
PS017129
PA
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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