Provider Information for 1912771551
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Mrs. AMY LYNETTE NEAL M.Ed, LPC
Sex: Female
NPI: 1912771551
Last Updated: 2023-11-14
Certification Date: 2023-11-14
Certification Date: 2023-11-14
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1912771551 | ||||||||
| Enumeration Date | 2023-11-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6914 NAVA GRAND PRAIRIE, TX 75054-5550 United States Phone: 940-594-7782 | Fax: | ||||||||
| Primary Practice Address | 6914 NAVA GRAND PRAIRIE, TX 75054-5550 United States Phone: 940-594-7782 | Fax: | ||||||||
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