Neville, Carolyn

Neville, Carolyn is an individual health care provider with primary practice located at 1175 East Main Street Suite C1, Medford OR 97504. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Neville, Carolyn can be contacted via phone (541) 772-2209.

Contact Information

Primary practice address
1175 East Main Street Suite C1 Medford OR 97504
Phone: (541) 772-2209
Fax: (541) 772-0966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1679850788
LBN Legal business name Neville, Carolyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2011
Last updated Nov 2nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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