Provider Demographics
NPI:1255999025
Name:MCGLINCHEY, ELEANOR LOUISE (PHD)
Entity type:Individual
Prefix:DR
First Name:ELEANOR
Middle Name:LOUISE
Last Name:MCGLINCHEY
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 1:640 W 231ST ST APT 3C
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-3257
Mailing Address - Country:US
Mailing Address - Phone:267-240-3750
Mailing Address - Fax:
Practice Address - Street 1:580 BROADWAY
Practice Address - Street 2:MEZZANINE B SUITE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012
Practice Address - Country:US
Practice Address - Phone:212-721-0216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-05
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020932103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty