DR. ROGER BRUCE MCNELLIE PH.D.MSSWLCSWLPC NPI 1306946652

NPI Information

NPI: 1306946652
Provider Name: DR. ROGER BRUCE MCNELLIE, PH.D.,MSSW,LCSW,LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
5922 PRINCESS LN
NACOGDOCHES, TX
ZIP 75961
Phone: (936) 560-9437
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DR. Roger Bruce Mcnellie, PH.D.,MSSW,LCSW,LPC is a professional counselor in Nacogdoches, TX. DR. Roger Bruce Mcnellie, PH.D.,MSSW,LCSW,LPC NPI is 1306946652. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5922 PRINCESS LN
NACOGDOCHES, TX
ZIP 75961-718
Phone: (936) 560-9437
Fax: (936) 560-9437

The enumeration date for this NPI number is 9/25/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	5808	TEXAS	Yes
2	1041C0700X	Social Worker	Clinical	S1074	TEXAS	X
3	106H00000X	Marriage & Family Therapist			TEXAS	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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