Provider Demographics
NPI:1346357753
Name:MEEHAN, ANNE-MARIE (PHD,ABPP)
Entity Type:Individual
Prefix:DR
First Name:ANNE-MARIE
Middle Name:
Last Name:MEEHAN
Suffix:
Gender:F
Credentials:PHD,ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:386 HERRINGTON DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-3820
Mailing Address - Country:US
Mailing Address - Phone:404-276-9036
Mailing Address - Fax:404-266-8687
Practice Address - Street 1:25 LENOX POINTE NE STE B
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-7420
Practice Address - Country:US
Practice Address - Phone:404-276-9036
Practice Address - Fax:404-266-8687
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000763103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical