Chinetta Neal, PHD
Psychologist in Fort Pierce, FL. Individual provider (NPI-1).
NPI number1336767243
StatusActive
Last updated in NPPESFeb 9, 2022
Details
- NPI
- 1336767243
- Entity type
- Individual (NPI-1)
- Name
- Chinetta Neal
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 7, 2020
- Certification date
- Feb 9, 2022
- Last updated
- Feb 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | LCCP0524011221 | FL | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
3116 Yellowstone CirFort Pierce, FL 34945-5705
Phone 772-708-6270
Mailing address
Po Box 9688Port St Lucie, FL 34985-9688
Phone 772-708-6270
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