Organization
NEAL PSYCHOLOGICAL SPECIALTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS N NEAL PSY.D (PSYCHOLOGIST/OWNER)
(814) 477-4727
Entity
Organization
Contact information
Practice address
185 HERITAGE DR, CRYSTAL LAKE, IL 60014-8068
(815) 477-4727
Mailing address
185 HERITAGE DR, CRYSTAL LAKE, IL 60014-8068
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071004297
IL
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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