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NPI Code Detail

MEDICARE: DR. DONNA MCGINLEY PH.D., LMHC

MEDICARE: DR. DONNA MCGINLEY PH.D., LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH9973FL

General Provider Information

NPI Number : 1063736205
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONNA MCGINLEY PH.D., LMHC
Provider Business Mailing Address
First Line : 6300 BEACH BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-2708
Country : US
Telephone Number : 904-724-9202
Fax Number :
Provider Business Practice Location Address
First Line : 6300 BEACH BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-2708
Country : US
Telephone Number : 904-724-9202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2010
Last Update Date : 03/17/2010

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