Individual
MR. SHANE ROBERT MCNELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2209 ARDMORE BLVD, PITTSBURGH, PA 15221-4851
(412) 336-8653
Mailing address
4828 LIBERTY AVE APT 7, PITTSBURGH, PA 15224-2137
(412) 996-0854
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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