Healthcare Provider Details

I. General information

NPI: 1639279862
Provider Name (Legal Business Name): JOCELYN SHEALY MCGEE MSG, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 19TH ST S
BIRMINGHAM AL
35233-1927
US

IV. Provider business mailing address

2210 WILDWOOD CROSSINGS
BIRMINGHAM AL
35211-4494
US

V. Phone/Fax

Practice location:
  • Phone: 205-933-8101
  • Fax: 205-939-4576
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPSY19801
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY19801
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: