| Dan Mcneill, Phd, Llc | |
|
1203 Rustic Ct Lawrenceville NJ 08648-2500 | |
| (609) 771-3790 | |
| Not Available |
| Full Name | Dan Mcneill, Phd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1203 Rustic Ct, Lawrenceville, New Jersey |
| Authorized Official Name and Position | Daniel Mcneill (OWNER) |
| Authorized Official Contact | 6097713790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dan Mcneill, Phd, Llc 800 Denow Rd Ste C-284 Pennington NJ 08534-5246 Ph: (609) 771-3790 | Dan Mcneill, Phd, Llc 1203 Rustic Ct Lawrenceville NJ 08648-2500 Ph: (609) 771-3790 |
| NPI Number | 1427101971 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 03/04/2022 |
| Certification Date | 03/04/2022 |
| Medicare PECOS PAC ID | 3072619980 |
|---|---|
| Medicare Enrollment ID | O20070509000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427101971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 35S100349600 (New Jersey) | Primary |
| Provider Name | Daniel E Mcneill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932157393 PECOS PAC ID: 4880636117 Enrollment ID: I20050526000717 |
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