Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | PY3110 | WA |
NPI | 1205046158 |
---|---|
Provider Name | Dr. Andrea Christine Neal |
First Address | Seattle, WA 98101-1227 |
Second Address | Seattle, WA 98101-1227 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 17/12/2018 |