Provider Demographics
NPI:1285808782
Name:MCNEAL, PATRICIA ANN (LPC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:MCNEAL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10826 E 15TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74128-4838
Mailing Address - Country:US
Mailing Address - Phone:918-850-9119
Mailing Address - Fax:
Practice Address - Street 1:10826 E 15TH PL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74128-4838
Practice Address - Country:US
Practice Address - Phone:918-850-9119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional