Provider Demographics
NPI:1487864690
Name:MCNERNEY, LEONA MARIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:LEONA
Middle Name:MARIE
Last Name:MCNERNEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:CHRISTA
Other - Middle Name:LEONA
Other - Last Name:MCNERNEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:1720 KINGSTON CIR
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-4228
Mailing Address - Country:US
Mailing Address - Phone:909-794-9621
Mailing Address - Fax:909-335-7330
Practice Address - Street 1:51 W OLIVE AVE
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-5243
Practice Address - Country:US
Practice Address - Phone:909-793-1078
Practice Address - Fax:909-335-7330
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral