Individual
DALE EDWARD MCNIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
401 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2211
(415) 476-7379
(415) 476-7404
Mailing address
401 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2211
(415) 476-7379
(415) 476-7404
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY8652
CA
103TC0700X
Clinical Psychologist
PSY8652
CA
103TF0200X
Forensic Psychologist
PSY8652
CA
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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