Individual
DR. MAYA MCNEILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1140 HOLLY SPRINGS RD, SUITE 207, HOLLY SPRINGS, NC 27540-9634
(919) 557-6111
(919) 567-9920
Mailing address
PO BOX 822, HOLLY SPRINGS, NC 27540-0822
(919) 567-9920
(919) 567-9920
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1658
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0368M
BCBS
NC
Enumeration date
10/26/2006
Last updated
01/10/2022
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