Provider Demographics
NPI:1124262852
Name:MCNEIL, NOELLE PAULK (MS)
Entity type:Individual
Prefix:MRS
First Name:NOELLE
Middle Name:PAULK
Last Name:MCNEIL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10301 RANCH ROAD 2222
Mailing Address - Street 2:APT. 1528
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730-1200
Mailing Address - Country:US
Mailing Address - Phone:512-576-5621
Mailing Address - Fax:
Practice Address - Street 1:12710 RESEARCH BLVD
Practice Address - Street 2:SUITE 395
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-4379
Practice Address - Country:US
Practice Address - Phone:512-331-4115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103753235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist