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NPI Code Detail

MEDICARE: NIAL PATRICK QUINLAN PHD LPC NCC

MEDICARE:   NIAL PATRICK QUINLAN  PHD LPC NCC
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
1101YP2500XProfessional Counselor0701004346VA

General Provider Information

NPI Number : 1538451679
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIAL PATRICK QUINLAN PHD LPC NCC
Provider Business Mailing Address
First Line : 117 W 21ST ST
Second Line :
City : NORFOLK
State : VA
Zip : 23517-2246
Country : US
Telephone Number : 757-218-0305
Fax Number :
Provider Business Practice Location Address
First Line : 117 W 21ST ST
Second Line :
City : NORFOLK
State : VA
Zip : 23517-2246
Country : US
Telephone Number : 757-218-0305
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2011
Last Update Date : 05/09/2011

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Directions to “ NIAL PATRICK QUINLAN PHD LPC NCC” Practice Location

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