Provider Demographics
NPI:1164463865
Name:KINSEY, GINGER MARIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:GINGER
Middle Name:MARIE
Last Name:KINSEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:VIRGINIA/GINGER
Other - Middle Name:MARIE
Other - Last Name:COMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:880 PROSPECTOR TRL STE 100
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-2700
Mailing Address - Country:US
Mailing Address - Phone:254-690-1512
Mailing Address - Fax:254-690-1532
Practice Address - Street 1:880 PROSPECTOR TRL STE 100
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-2700
Practice Address - Country:US
Practice Address - Phone:254-690-1512
Practice Address - Fax:254-690-1532
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32634103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
52152OtherHEALTH SERVICE PROVIDER