Provider Demographics
NPI:1992587455
Name:MCNEAL, ANNA M
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:M
Last Name:MCNEAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 HAIGHT AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-7205
Mailing Address - Country:US
Mailing Address - Phone:518-245-6272
Mailing Address - Fax:518-849-0866
Practice Address - Street 1:510 HAIGHT AVE STE 203
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-7205
Practice Address - Country:US
Practice Address - Phone:518-245-6272
Practice Address - Fax:518-849-0866
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY72-P100375-021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty