Provider Demographics
NPI:1093132607
Name:MCGILL, ANNE ELIZABETH (PSYD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:ELIZABETH
Last Name:MCGILL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:ELIZABETH
Other - Last Name:DONLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8422 E SHEA BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6661
Mailing Address - Country:US
Mailing Address - Phone:480-788-8705
Mailing Address - Fax:480-447-5690
Practice Address - Street 1:8422 E SHEA BLVD
Practice Address - Street 2:#103
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6661
Practice Address - Country:US
Practice Address - Phone:480-788-8705
Practice Address - Fax:480-447-5690
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-20
Last Update Date:2022-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3812103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical