Doctor Name: | DR. GERRI M. MCGINNIS |
NPI Number: | 1972523033 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | PS-007064-L |
Business Practice Address: | 909 Walnut St 2nd Floor Philadelphia, PA - 191075211 |
Business Phone Number: | 2159557000 |
Business Fax Number: | 2155037007 |
Mailing Address: | 615 Chestnut St, 14th Floor, Central Enrollment PHILADELPHIA |
State: | PA |
Postal Code: | 191064404 |
Phone Number: | 2159551175 |
Fax Number: | 2159552420 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 10/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | PS-007064-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |