Provider Demographics
NPI:1861565053
Name:MCNEILL, KAY ANDREWS (PHD)
Entity type:Individual
Prefix:DR
First Name:KAY
Middle Name:ANDREWS
Last Name:MCNEILL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 SAM RITTENBERG BLVD STE 251
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-3388
Mailing Address - Country:US
Mailing Address - Phone:843-766-8620
Mailing Address - Fax:843-766-3351
Practice Address - Street 1:1180 SAM RITTENBERG BLVD STE 251
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-3388
Practice Address - Country:US
Practice Address - Phone:843-766-8620
Practice Address - Fax:843-766-3351
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC505103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical