MEDICARE: ANGELA S. MCNEIL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1568334324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA S. MCNEIL

Provider Business Mailing Address
First Line	:	12 SPICER PL
Second Line	:
City	:	LAWNSIDE
State	:	NJ
Zip	:	08045-1157
Country	:	US
Telephone Number	:	215-688-5093
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 WASHINGTON LN STE 6A2
Second Line	:
City	:	WYNCOTE
State	:	PA
Zip	:	19095-1426
Country	:	US
Telephone Number	:	215-800-6589
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2025
Last Update Date	:	09/22/2025

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Directions to “ ANGELA S. MCNEIL ” Practice Location

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