Individual
DR. DOUGLAS NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
102 EAST STATE STREET, SUITE 2, KENNET SQUARE, PA 19348-1800
(610) 444-9494
(610) 444-9655
Mailing address
102 EAST STATE STREET, SUITE 2, KENNETT SQUARE, PA 19348-1800
(610) 444-9494
(610) 444-9655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
000021
PA
101YM0800X
Mental Health Counselor
37PC00345100
NJ
101YM0800X
Mental Health Counselor
PA000021
PA
102L00000X
Psychoanalyst
Primary
—
—
Other
Enumeration date
08/09/2006
Last updated
10/17/2014
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