Provider Demographics
NPI:1942832860
Name:MCDONNELL, ANNE MARIE CREAN
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:MARIE CREAN
Last Name:MCDONNELL
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:PO BOX 1345
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-5345
Mailing Address - Country:US
Mailing Address - Phone:215-516-9556
Mailing Address - Fax:
Practice Address - Street 1:237 E LANCASTER AVE # 231
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-3535
Practice Address - Country:US
Practice Address - Phone:215-516-9556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-08
Last Update Date:2020-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health