Provider Demographics
NPI:1912325978
Name:MCDONALD-NEELY, PAULA SUSANNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:SUSANNE
Last Name:MCDONALD-NEELY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:
Other - Last Name:MCDONALD NEELY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:26411 OAK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1964
Mailing Address - Country:US
Mailing Address - Phone:281-610-8412
Mailing Address - Fax:281-419-0879
Practice Address - Street 1:26411 OAK RIDGE DR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1964
Practice Address - Country:US
Practice Address - Phone:281-610-8412
Practice Address - Fax:281-419-0879
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-06
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX324751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical