Provider Demographics
NPI:1962456301
Name:WARING, ANN M (PHD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:WARING
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 1:280 W MILLBROOK RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4304
Mailing Address - Country:US
Mailing Address - Phone:919-846-7396
Mailing Address - Fax:919-870-8917
Practice Address - Street 1:280 W MILLBROOK RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4304
Practice Address - Country:US
Practice Address - Phone:919-846-7396
Practice Address - Fax:919-870-8917
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC870103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC04883OtherPSYCHOLOGIST (BCBS)
NC6000059Medicaid
NC6137495OtherPSYCHOLOGIST - UBH
NC2810683Medicare ID - Type UnspecifiedPSYCHOLOGIST