Provider Demographics
NPI:1043993629
Name:NEVILLE, DAVID JOSEPH (PSYD, MBA, MS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOSEPH
Last Name:NEVILLE
Suffix:
Gender:M
Credentials:PSYD, MBA, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4839 S MILE HIGH DR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-4782
Mailing Address - Country:US
Mailing Address - Phone:801-386-1316
Mailing Address - Fax:
Practice Address - Street 1:4839 S MILE HIGH DR
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-4782
Practice Address - Country:US
Practice Address - Phone:801-386-1316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist