Individual
JOEY MARK NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIMITED LICENSE PSYC
Contact information
Practice address
615 E CROSSTOWN PKWY, KALAMAZOO, MI 49001-2501
(269) 372-3457
Mailing address
615 E CROSSTOWN PKWY, KALAMAZOO, MI 49001-2501
(269) 372-3457
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361004463
MI
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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