Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 36188 | TX |
Y | 103T00000X | Psychologist | 36188 | TX |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 36188 | TX |
N | 103G00000X | Clinical Psychologist | 36188 | TX |
N | 103TC0700X | Clinical Psychologist | 36188 | TX |
N | 103TC1900X | Counseling Psychologist | 36188 | TX |
N | 103TH0004X | Health Psychologist | 36188 | TX |
N | 103TH0100X | Health Service | 36188 | TX |
N | 1041C0700X | Clinical Social Worker | 21941 | TX |
NPI | 1174613046 |
---|---|
Provider Name | Ms. Abigail Rankin Mcneely |
First Address | Austin, TX 78759-4388 |
Second Address | Austin, TX 78759-4388 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 12/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
89CT | BCBS PROVIDER # (01) | TX |