Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 20042169A | IN |
Y | 103TC0700X | Clinical Psychologist | 20042169A | IN |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 20042169 | IN |
NPI | 1063608438 |
---|---|
Provider Name | Dr. Allison Mcginley |
First Address | Indianapolis, IN 46260-1880 |
Second Address | Indianapolis, IN 46260-1880 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2007 |
Last Update Date | 27/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200880360 | (05) | IN |