Individual
JULIANNE M MCGINNIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1600 MEDICAL CENTER DR, SUITE B500, HUNTINGTON, WV 25701-3656
(304) 691-1500
(304) 691-1510
Mailing address
1600 MEDICAL CENTER DR, SUITE B500, HUNTINGTON, WV 25701-3656
(304) 691-1500
(304) 691-1510
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
575
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164320000
—
WV
Enumeration date
03/27/2006
Last updated
07/08/2007
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