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NPI Code Detail

MEDICARE: HEIDI S NEVILLE PH.D.

MEDICARE: HEIDI S NEVILLE PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

General Provider Information

NPI Number : 1033189485
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI S NEVILLE PH.D.
Provider Business Mailing Address
First Line : 242 E MCMURRAY RD
Second Line :
City : MC MURRAY
State : PA
Zip : 15317-2963
Country : US
Telephone Number : 724-941-7075
Fax Number : 724-942-3952
Provider Business Practice Location Address
First Line : 242 E MCMURRAY RD
Second Line :
City : MC MURRAY
State : PA
Zip : 15317-2963
Country : US
Telephone Number : 724-941-7075
Fax Number : 724-942-3952
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 07/09/2007

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Directions to “ HEIDI S NEVILLE PH.D.” Practice Location

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