Provider Demographics
NPI:1710292750
Name:MCNEIL, DEBORAH SARVIS
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:SARVIS
Last Name:MCNEIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 KING ST
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-4512
Mailing Address - Country:US
Mailing Address - Phone:415-328-1299
Mailing Address - Fax:415-389-9366
Practice Address - Street 1:95 KING ST
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-4512
Practice Address - Country:US
Practice Address - Phone:415-328-1299
Practice Address - Fax:415-389-9366
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-14
Last Update Date:2010-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health