Healthcare Provider Details

I. General information

NPI: 1922399435
Provider Name (Legal Business Name): STEVEN P MCNEEL PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2011
Last Update Date: 05/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 GALLETTI WAY BLDG 8C
SPARKS NV
89431-5564
US

IV. Provider business mailing address

280 ISLAND AVE STE 1702
RENO NV
89501-1844
US

V. Phone/Fax

Practice location:
  • Phone: 775-333-0943
  • Fax:
Mailing address:
  • Phone: 651-343-2668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: