Doctor Name: | MR. PATRICK MICHAEL MCGINN |
NPI Number: | 1518188242 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, LLP |
License Number: | 6301012291 |
Business Practice Address: | 524 Mackinaw Ave Cheboygan, MI - 497211145 |
Business Phone Number: | 2315978024 |
Business Fax Number: | |
Mailing Address: | 14557 Inverness Trail Rd, CHEBOYGAN |
State: | MI |
Postal Code: | 497219313 |
Phone Number: | 2315978182 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301012291 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |