Provider Demographics
NPI:1699898114
Name:NEBEL, DENNIS WENDELL (PSYD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:WENDELL
Last Name:NEBEL
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:439 RANDALL DR
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-5149
Mailing Address - Country:US
Mailing Address - Phone:724-652-9312
Mailing Address - Fax:724-654-6627
Practice Address - Street 1:439 RANDALL DR
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-5149
Practice Address - Country:US
Practice Address - Phone:724-652-9312
Practice Address - Fax:724-654-6627
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist