Provider Demographics
NPI:1467662403
Name:MCGINLEY, BOBBE (MA, MBA, LISAC, NCGC)
Entity Type:Individual
Prefix:MS
First Name:BOBBE
Middle Name:
Last Name:MCGINLEY
Suffix:
Gender:F
Credentials:MA, MBA, LISAC, NCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 E SHEA BLVD
Mailing Address - Street 2:SUITE D-202
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-4681
Mailing Address - Country:US
Mailing Address - Phone:602-569-4328
Mailing Address - Fax:
Practice Address - Street 1:5010 E SHEA BLVD
Practice Address - Street 2:SUITE D-202
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-4681
Practice Address - Country:US
Practice Address - Phone:602-569-4328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2016-03-22
Deactivation Date:2015-05-04
Deactivation Code:
Reactivation Date:2016-03-22
Provider Licenses
StateLicense IDTaxonomies
AZLISAC-0617101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)