Individual
SHANNON MCNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
940 BELMONT ST, BROCKTON VAMC (116A), BROCKTON, MA 02301-5596
(774) 826-2343
Mailing address
940 BELMONT ST, BROCKTON VAMC (116A), BROCKTON, MA 02301-5596
(774) 826-2343
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01452
RI
Other
Enumeration date
10/13/2014
Last updated
06/28/2016
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