Provider Demographics
NPI:1417970294
Name:MCGINN, ROSANNE B (MA)
Entity Type:Individual
Prefix:MS
First Name:ROSANNE
Middle Name:B
Last Name:MCGINN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 W TILGHMAN ST
Mailing Address - Street 2:SUITE 225
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9109
Mailing Address - Country:US
Mailing Address - Phone:610-336-0775
Mailing Address - Fax:610-336-0775
Practice Address - Street 1:5000 W TILGHMAN ST
Practice Address - Street 2:SUITE 225
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9109
Practice Address - Country:US
Practice Address - Phone:610-336-0775
Practice Address - Fax:610-336-0775
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-006149-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical