Individual
STANLEY CHARLES MCNEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
250 PRINCETON AVE., SUITE 203, GLADSTONE, OR 97027-2554
(503) 657-4558
(503) 656-4618
Mailing address
250 PRINCETON AVE., SUITE 203, GLADSTONE, OR 97027-2554
(503) 657-4558
(503) 656-4618
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1378
OR
Other
Enumeration date
10/25/2006
Last updated
06/10/2009
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