Organization
CRUISE & NEIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA NEIL MA (OWNER)
(319) 364-8741
Entity
Organization
Contact information
Practice address
1221 PARK PL NE STE F, CEDAR RAPIDS, IA 52402-2019
(319) 364-8741
Mailing address
1221 PARK PL NE STE F, CEDAR RAPIDS, IA 52402-2019
(319) 364-8741
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477997807
—
IA
Enumeration date
01/01/2020
Last updated
01/01/2020
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