Provider Demographics
NPI:1558431775
Name:NEEL, LINDA SUE (EDD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:SUE
Last Name:NEEL
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4015 S MCCLINTOCK DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-5877
Mailing Address - Country:US
Mailing Address - Phone:480-897-6261
Mailing Address - Fax:480-897-6284
Practice Address - Street 1:4015 S MCCLINTOCK DR
Practice Address - Street 2:SUITE 101
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-5877
Practice Address - Country:US
Practice Address - Phone:480-897-6261
Practice Address - Fax:480-897-6284
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ942103TC1900X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling