Individual
MAKINNA LEIGH MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1220 W VLIET ST, MILWAUKEE, WI 53205-2117
(414) 758-4019
Mailing address
1000 E LOCUST ST APT 1, MILWAUKEE, WI 53212-2687
(608) 387-2575
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5165-57
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2019
Last updated
02/06/2024
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