Healthcare Provider Details

I. General information

NPI: 1215920467
Provider Name (Legal Business Name): STEVE A. NEFF MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 HOPE DR 366 MEDGRP (ACC)/FAMILY ADVOCACY
MOUNTAIN HOME A F B ID
83648-1057
US

IV. Provider business mailing address

90 HOPE DR 366 MEDGRP (ACC) / FAMILY ADVOCACY
MOUNTAIN HOME A F B ID
83648-1057
US

V. Phone/Fax

Practice location:
  • Phone: 208-828-7520
  • Fax: 208-828-3792
Mailing address:
  • Phone: 208-828-7520
  • Fax: 208-828-3792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLMSW-980
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: