Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | NJ1152 | NJ |
Y | 103T00000X | Psychologist | NJ1152 | NJ |
NPI | 1013049071 |
---|---|
Provider Name | Dr. Neal E Leynor |
First Address | Chatham, NJ 07928-2433 |
Second Address | Chatham, NJ 07928-2433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2007 |
Last Update Date | 08/07/2007 |