Provider Demographics
NPI:1841629268
Name:MCNEELY, LINDSAY DIAZ (MS, CGC)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:DIAZ
Last Name:MCNEELY
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 GLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55405-4402
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:612-808-5186
Practice Address - Street 1:1015 GLENWOOD AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55405-4402
Practice Address - Country:US
Practice Address - Phone:866-741-5331
Practice Address - Fax:612-808-5186
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS