Provider Demographics
NPI:1417135872
Name:NEEL, MONICA LEIGH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:LEIGH
Last Name:NEEL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 BOSLEY AVE
Mailing Address - Street 2:SUITE A5
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-4328
Mailing Address - Country:US
Mailing Address - Phone:410-832-0113
Mailing Address - Fax:410-832-0113
Practice Address - Street 1:222 BOSLEY AVE
Practice Address - Street 2:SUITE A5
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-4328
Practice Address - Country:US
Practice Address - Phone:410-832-0113
Practice Address - Fax:410-832-0113
Is Sole Proprietor?:No
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04166103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical