Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 104100000X | Social Worker | ||
Y | 1041C0700X | Clinical Social Worker |
NPI | 1003415944 |
---|---|
Provider Name | Mrs. Danielle Neal |
First Address | Melbourne, FL 32904-1210 |
Second Address | Melbourne, FL 32904-1210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2020 |
Last Update Date | 21/10/2020 |