Provider Demographics
NPI:1194368654
Name:MCGHEE, AVIS RENEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:AVIS
Middle Name:RENEE
Last Name:MCGHEE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 ARCH ST # 2B
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3529
Mailing Address - Country:US
Mailing Address - Phone:267-844-1482
Mailing Address - Fax:
Practice Address - Street 1:1514 ARCH ST # 2B
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3529
Practice Address - Country:US
Practice Address - Phone:267-844-1482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty