Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DOUGLAS NEILL, PHD
Active Sole ProprietorDR. DOUGLAS NEILL, PHD is a Psychoanalyst healthcare provider located in KENNET SQUARE, Pennsylvania. NPI 1811907835 is currently active in the NPPES registry. Verify at CMS.
Psychoanalyst · KENNET SQUARE, PA
Registration Details
- NPI Number
- 1811907835
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2006 (20.008511025982 yrs)
- Last Updated
- Oct 17, 2014
- Licenses
-
000021 (PA)37PC00345100 (NJ)PA000021 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
102 EAST STATE STREETSUITE 2KENNET SQUARE, PA, 193481800Browse PA providers · Browse ZIP 19348
- Phone
- 6104449494
- Fax
- 6104449655
- Primary Specialty
-
Psychoanalyst
102L00000X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Psychoanalyst
- Additional Specialty
- Mental Health Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.