| Maya Mcneilly Pa, Ph.d. | |
|
1140 Holly Springs Rd Suite #207 Holly Springs NC 27540 | |
| (919) 557-6111 | |
| (919) 567-9920 |
| Full Name | Maya Mcneilly Pa, Ph.d. |
|---|---|
| Speciality | Psychologist |
| Location | 1140 Holly Springs Rd, Holly Springs, North Carolina |
| Authorized Official Name and Position | Maya Mcneilly (PROVIDER) |
| Authorized Official Contact | 9195679920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maya Mcneilly Pa, Ph.d. Po Box 822 Holly Springs NC 27540-0822 Ph: (919) 567-9920 | Maya Mcneilly Pa, Ph.d. 1140 Holly Springs Rd Suite #207 Holly Springs NC 27540 Ph: (919) 557-6111 |
| NPI Number | 1235315441 |
|---|---|
| Provider Enumeration Date | 01/17/2008 |
| Last Update Date | 11/16/2021 |
| Certification Date | 11/16/2021 |
| Medicare PECOS PAC ID | 7719998533 |
|---|---|
| Medicare Enrollment ID | O20060509000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235315441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | NC1658 (North Carolina) | Primary |
| Provider Name | Maya Mcneilly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457436545 PECOS PAC ID: 2264443084 Enrollment ID: I20140121001317 |
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