Provider Demographics
NPI:1770802936
Name:NEIL, BARBARA ANN (CADC)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ANN
Last Name:NEIL
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:16425 GRACE ANN CT
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-3285
Mailing Address - Country:US
Mailing Address - Phone:405-285-1656
Mailing Address - Fax:405-752-5787
Practice Address - Street 1:10802 QUAIL PLAZA DR
Practice Address - Street 2:SUITE 124
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-3116
Practice Address - Country:US
Practice Address - Phone:405-474-6884
Practice Address - Fax:405-752-5787
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-26
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK172101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)