Provider Demographics
NPI:1841991197
Name:QUEL, DAVID JOHN
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOHN
Last Name:QUEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 N GREENGATE RD STE D
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-4081
Mailing Address - Country:US
Mailing Address - Phone:724-832-1700
Mailing Address - Fax:724-853-6704
Practice Address - Street 1:1215 N GREENGATE RD STE D
Practice Address - Street 2:
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-4081
Practice Address - Country:US
Practice Address - Phone:724-832-1700
Practice Address - Fax:724-853-6704
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional