Individual
CHINETTA NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3116 YELLOWSTONE CIR, FORT PIERCE, FL 34945-5705
(772) 708-6270
Mailing address
PO BOX 9688, PORT ST LUCIE, FL 34985-9688
(772) 708-6270
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
LCCP0524011221
FL
Other
Enumeration date
07/07/2020
Last updated
02/09/2022
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