Provider Demographics
NPI:1962441907
Name:GINSBURG, SHEILA D (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:D
Last Name:GINSBURG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:SHEILA
Other - Middle Name:GINSBURG
Other - Last Name:INGRAHAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:160 ALLENS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-3309
Mailing Address - Country:US
Mailing Address - Phone:585-442-8715
Mailing Address - Fax:585-473-9084
Practice Address - Street 1:160 ALLENS CREEK RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3309
Practice Address - Country:US
Practice Address - Phone:585-442-8715
Practice Address - Fax:585-473-9084
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006285-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical