Individual
DANIELE P MCNEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
729 TRIO LN, VIRGINIA BEACH, VA 23452-5931
(757) 557-6328
Mailing address
729 TRIO LANE, VIRGINIA BEACH, VA 23452-6860
(757) 557-6328
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0801000927
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042754
ANTHEM
VA
05
—
1396849337
—
VA
05
—
680000862
—
VA
Enumeration date
09/11/2006
Last updated
07/15/2016
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