Male or Other

Dr. Neil A. Thierry M.D.

Child & Adolescent Psychiatry Physician in Tampa, FL(View on Map)

Full Name

Dr. Neil Allen Thierry M.D.

NPI Number

1548271596

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/11/2006

Specialties

(Taxonomies)

Code

2084P0804X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

91604

Contact
Information

Purpose

Mailing
Location

Address

6913 COHASSET CIR
12512 BRUCE B DOWNS BLVD

City

Riverview
Tampa

State

FL
FL

Postal Code

33578-8314
33612-9209

Country

US
US

Telephone Number

(813) 731-4066
(813) 977-8700

Identifiers

Identifier

277414300
53191

Identifier State

FL
FL

Identifier Issuer

Unknown
BLUE CROSS/BLUE SHIELD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/04/2015

Provider Address

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