Provider Demographics
NPI:1538489042
Name:NEAL, DIANNE J (MS)
Entity Type:Individual
Prefix:
First Name:DIANNE
Middle Name:J
Last Name:NEAL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
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Mailing Address - Street 1:302 N JACKSON ST
Mailing Address - Street 2:P O BOX 1188
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39759-2504
Mailing Address - Country:US
Mailing Address - Phone:662-323-9261
Mailing Address - Fax:662-324-9647
Practice Address - Street 1:200 W KING ST
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:MS
Practice Address - Zip Code:39341-2732
Practice Address - Country:US
Practice Address - Phone:662-726-5042
Practice Address - Fax:662-726-5009
Is Sole Proprietor?:No
Enumeration Date:2010-06-07
Last Update Date:2010-06-07
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health