NPI | 1649465139 |
---|---|
Former Name | CHERYL LYNN NEAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX M7468) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 6369) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 4741) | |
Enumeration Date | 2007-09-08 |
Last Update Date | 2023-08-02 |