Provider Demographics
NPI:1952463127
Name:NEYLAND, BARBARA LEE (LCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LEE
Last Name:NEYLAND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BOBBI
Other - Middle Name:
Other - Last Name:NEYLAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:400 W MAIN AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-5808
Mailing Address - Country:US
Mailing Address - Phone:512-825-2798
Mailing Address - Fax:512-990-4770
Practice Address - Street 1:400 W MAIN AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-5808
Practice Address - Country:US
Practice Address - Phone:512-825-2798
Practice Address - Fax:512-990-4770
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX216921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical