Provider Demographics
NPI:1194171306
Name:NEACE, PHOEBE C (MT-BC)
Entity type:Individual
Prefix:
First Name:PHOEBE
Middle Name:C
Last Name:NEACE
Suffix:
Gender:
Credentials:MT-BC
Other - Prefix:
Other - First Name:PHOEBE
Other - Middle Name:C
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MT-BC
Mailing Address - Street 1:3824 N WHITSETT RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:IN
Mailing Address - Zip Code:47102-8446
Mailing Address - Country:US
Mailing Address - Phone:502-712-6429
Mailing Address - Fax:
Practice Address - Street 1:632 EASTERN BLVD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47129-2463
Practice Address - Country:US
Practice Address - Phone:502-712-6429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-05
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist