Healthcare Provider Details

I. General information

NPI: 1669400867
Provider Name (Legal Business Name): REBECCA REETZ NEAL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 04/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NEW HAMPSHIRE HOSPITAL 36 CLINTON ST
CONCORD NH
03301-3861
US

IV. Provider business mailing address

NEW HAMPSHIRE HOSPITAL 36 CLINTON ST
CONCORD NH
03301-3861
US

V. Phone/Fax

Practice location:
  • Phone: 603-271-5300
  • Fax: 603-271-5395
Mailing address:
  • Phone: 603-271-5300
  • Fax: 603-271-5395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number8204
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number8204
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: