Individual
MEREDITH K GINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
166 DEROSIER DR, JOHNSON CITY, TN 37614-5200
(423) 439-7777
(423) 439-7780
Mailing address
PO BOX 70416, ETSU DEPARTMENT OF PSYCHOLOGY, JOHNSON CITY, TN 37614
(423) 439-4113
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3598
TN
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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