Provider Demographics
NPI:1174860654
Name:NEER PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:NEER PSYCHOLOGICAL SERVICES
Other - Org Name:PHYLLIS NEER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:NEER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:304-290-0923
Mailing Address - Street 1:709 BEECHURST AVE
Mailing Address - Street 2:SUITE 9
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-4689
Mailing Address - Country:US
Mailing Address - Phone:304-290-0923
Mailing Address - Fax:
Practice Address - Street 1:709 BEECHURST AVE
Practice Address - Street 2:SUITE 9
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-4689
Practice Address - Country:US
Practice Address - Phone:304-290-0923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-03
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty