Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | ||
Y | 103T00000X | Psychologist | ||
N | 103G00000X | Clinical Psychologist | PS008553L | PA |
N | 103TC0700X | Clinical Psychologist | PS008553L | PA |
N | 103TC1900X | Counseling Psychologist | PS008553L | PA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PS008553L | PA |
N | 103TF0200X | Forensic Psychologist | PS008553L | PA |
NPI | 1053339291 |
---|---|
Provider Name | Dr. John Scott Neil |
First Address | Williamsport, PA 17701-5426 |
Second Address | Williamsport, PA 17701-5426 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 12/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
042795 | VALUE OPTIONS (01) | PA |
092560000 | MAGELLAN (01) | PA |
1015369010001 | (05) | PA |
12214 | CIGNA BEHAVIORAL HEALTH (01) | PA |
272093 | HIGHMARK BLUE SHIELD (01) | PA |
680015447 | RAILROAD MEDICARE (01) | PA |
805505 | FIRST PRIORITY HEALTH (01) | PA |
S29532 | (02) | PA |