Provider Demographics
NPI:1467219444
Name:LEAR, ANNA
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:LEAR
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 1:4928 HEIDE COOPER RD
Mailing Address - Street 2:
Mailing Address - City:SHANKS
Mailing Address - State:WV
Mailing Address - Zip Code:26761-9040
Mailing Address - Country:US
Mailing Address - Phone:304-813-1453
Mailing Address - Fax:
Practice Address - Street 1:7 MOUNTAIN VIEW ST
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26847-1796
Practice Address - Country:US
Practice Address - Phone:304-257-1155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical