Provider Demographics
NPI:1073656260
Name:MCENEANEY, ANNE M SLOCUM (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:M SLOCUM
Last Name:MCENEANEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E 15TH ST
Mailing Address - Street 2:#6F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3723
Mailing Address - Country:US
Mailing Address - Phone:917-301-6206
Mailing Address - Fax:212-995-4096
Practice Address - Street 1:19 W 34TH ST
Practice Address - Street 2:SUITE 1200
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3006
Practice Address - Country:US
Practice Address - Phone:917-301-6206
Practice Address - Fax:212-995-4096
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY68016149103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist