Healthcare Provider Details

I. General information

NPI: 1518957455
Provider Name (Legal Business Name): NEAL R. MCMANN ED.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/23/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 S BROAD ST SUITE 5
GLOBE AZ
85501-2643
US

IV. Provider business mailing address

1506 S PHEASANT LN
THATCHER AZ
85552-5376
US

V. Phone/Fax

Practice location:
  • Phone: 928-425-0366
  • Fax:
Mailing address:
  • Phone: 928-428-7161
  • Fax: 928-428-7161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number2557
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2557
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: