Provider Demographics
NPI:1154858355
Name:NEAL, SHANNON KAY (BACHELOR OF SCIENCE)
Entity Type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:KAY
Last Name:NEAL
Suffix:
Gender:F
Credentials:BACHELOR OF SCIENCE
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:815 GRANDVIEW ROAD
Mailing Address - Street 2:
Mailing Address - City:OIL CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16301
Mailing Address - Country:US
Mailing Address - Phone:814-676-5614
Mailing Address - Fax:814-677-5760
Practice Address - Street 1:815 GRANDVIEW ROAD
Practice Address - Street 2:
Practice Address - City:OIL CITY
Practice Address - State:PA
Practice Address - Zip Code:16301
Practice Address - Country:US
Practice Address - Phone:814-676-5614
Practice Address - Fax:814-677-5760
Is Sole Proprietor?:No
Enumeration Date:2017-05-18
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health