Provider Demographics
NPI:1912042680
Name:MCNEER, ANN ELIZABETH (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:ELIZABETH
Last Name:MCNEER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 888596
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30356-0596
Mailing Address - Country:US
Mailing Address - Phone:770-667-9559
Mailing Address - Fax:770-667-9559
Practice Address - Street 1:1002 BOMBAY LN
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-5820
Practice Address - Country:US
Practice Address - Phone:770-621-5099
Practice Address - Fax:770-667-9559
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY001652103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00493666Medicaid
GA68BBCSSMedicare UPIN