Provider Demographics
NPI:1629152632
Name:MCNEIL, MARCIA LANE (MS, CCC-SP)
Entity Type:Individual
Prefix:MS
First Name:MARCIA
Middle Name:LANE
Last Name:MCNEIL
Suffix:
Gender:F
Credentials:MS, CCC-SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NH
Mailing Address - Zip Code:03870-2443
Mailing Address - Country:US
Mailing Address - Phone:603-379-2660
Mailing Address - Fax:
Practice Address - Street 1:369 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NH
Practice Address - Zip Code:03870-2443
Practice Address - Country:US
Practice Address - Phone:603-379-2660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH416235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist