Provider Demographics
NPI:1932157393
Name:MCNEILL, DAN E (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAN
Middle Name:E
Last Name:MCNEILL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 DENOW RD.
Mailing Address - Street 2:STE C PMB 284
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-2041
Mailing Address - Country:US
Mailing Address - Phone:609-771-3790
Mailing Address - Fax:
Practice Address - Street 1:1203 RUSTIC CT
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-2500
Practice Address - Country:US
Practice Address - Phone:609-771-3790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSI03496103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
1427101971OtherNPI