Provider Demographics
NPI:1326838574
Name:MCNEIL, JENNIFER R (CMA)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:R
Last Name:MCNEIL
Suffix:
Gender:
Credentials:CMA
Other - Prefix:
Other - First Name:JENNNIFER
Other - Middle Name:R
Other - Last Name:FRIDAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:403 CLEVELAND ST
Mailing Address - Street 2:
Mailing Address - City:BAD AXE
Mailing Address - State:MI
Mailing Address - Zip Code:48413-1010
Mailing Address - Country:US
Mailing Address - Phone:989-550-0802
Mailing Address - Fax:
Practice Address - Street 1:403 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:BAD AXE
Practice Address - State:MI
Practice Address - Zip Code:48413-1010
Practice Address - Country:US
Practice Address - Phone:989-550-0802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-10
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst