Most Relevant Information
Provider Data
| NPI Number: | 1003388711 |
| Provider Name: | RENEE MICHELLE NEELY-WALTERS PSY.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 05151 |
Most Important Dates
| Enumeration Date: | 12/19/2018 |
| Last Updated: | 12/19/2018 |
Provider Practice Location
5800 8TH ST NW
WASHINGTON
DC
200111900
Practice Location Phone/Fax
| Phone: | 2025416608 |
| Fax: |
Provider Mailing Location
6201 CABOT ST
DISTRICT HEIGHTS
MD
207471259
Provider Mailing Phone/Fax
| Phone: | 2026078269 |
| Fax: |