Mcnellis, Carol Anne
Mcnellis, Carol Anne is an individual health care provider with primary practice located at 390 E Boot Rd , West Chester PA 19380-1222. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mcnellis, Carol Anne can be contacted via phone (610) 431-8160.Contact Information
Primary practice address
390 E Boot Rd
West Chester PA 19380-1222
Phone: (610) 431-8160
Fax: (610) 431-8105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS004828L | Pennsylvania |
Profile Details
| NPI number | 1033631544 |
|---|---|
| LBN Legal business name | Mcnellis, Carol Anne |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2017 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033631544 | NPPES |
| Pennsylvania | MEDICAID | 1124189386 |
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