Provider Demographics
NPI:1639338726
Name:VOGEL, ANNA O'NEILL (MA)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:O'NEILL
Last Name:VOGEL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:ANNA
Other - Middle Name:O'NEILL
Other - Last Name:MCCARTHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5275 EDINA INDUSTRIAL BLVD
Mailing Address - Street 2:#124
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2918
Mailing Address - Country:US
Mailing Address - Phone:952-835-7130
Mailing Address - Fax:
Practice Address - Street 1:5275 EDINA INDUSTRIAL BLVD
Practice Address - Street 2:#124
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2918
Practice Address - Country:US
Practice Address - Phone:952-835-7130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-04
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health