| Mcneill Therapy & Testing | |
|
6330 Newtown Rd Suite 525 Norfolk VA 23502-4802 | |
| (757) 222-0814 | |
| (757) 222-0813 |
| Full Name | Mcneill Therapy & Testing |
|---|---|
| Speciality | Psychologist |
| Location | 6330 Newtown Rd, Norfolk, Virginia |
| Authorized Official Name and Position | Jeninne Mcneill (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7572220814 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcneill Therapy & Testing 6330 Newtown Rd Suite 525 Norfolk VA 23502-4802 Ph: (757) 222-0814 | Mcneill Therapy & Testing 6330 Newtown Rd Suite 525 Norfolk VA 23502-4802 Ph: (757) 222-0814 |
| NPI Number | 1215307558 |
|---|---|
| Provider Enumeration Date | 09/29/2015 |
| Last Update Date | 05/07/2016 |
| Medicare PECOS PAC ID | 1254630056 |
|---|---|
| Medicare Enrollment ID | O20160429000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215307558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810004873 (Virginia) | Primary |
| Provider Name | Jeninne S Mcneill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679900187 PECOS PAC ID: 4183852189 Enrollment ID: I20140121001892 |
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