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Individual

DR. GERRI M. MCGINNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
909 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19107-5211
(215) 955-7000
(215) 503-7007
Mailing address
615 CHESTNUT ST, 14TH FLOOR, CENTRAL ENROLLMENT, PHILADELPHIA, PA 19106-4404
(215) 955-1175
(215) 955-2420

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS-007064-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8841004
NJ
Enumeration date
07/20/2006
Last updated
10/30/2007
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