Provider Demographics
NPI:1073613949
Name:NEELEY, HEATHER MARGARET (MD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:MARGARET
Last Name:NEELEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:905 E MARTIN LUTHER KING JR DR
Mailing Address - Street 2:SUITE 430
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-4864
Mailing Address - Country:US
Mailing Address - Phone:727-446-8866
Mailing Address - Fax:727-446-2277
Practice Address - Street 1:905 E MARTIN LUTHER KING JR DR
Practice Address - Street 2:SUITE 430
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-4864
Practice Address - Country:US
Practice Address - Phone:727-446-8866
Practice Address - Fax:727-446-2277
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2016-01-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME915752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry