Individual
DR. STEPHANIE ANNE NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
13901 NE 175TH ST, SUITE C, WOODINVILLE, WA 98072-8548
(206) 810-5745
(425) 486-7165
Mailing address
13901 NE 175TH ST, SUITE C, WOODINVILLE, WA 98072-8548
(206) 810-5745
(425) 486-7165
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00001569
WA
103TC0700X
Clinical Psychologist
PY00001569
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NE4750
REGENCE
WA
Enumeration date
10/05/2006
Last updated
09/11/2025
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