Provider Demographics
NPI:1063792323
Name:MCGINTY, SALLY (MS)
Entity type:Individual
Prefix:MS
First Name:SALLY
Middle Name:
Last Name:MCGINTY
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:728 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-3310
Mailing Address - Country:US
Mailing Address - Phone:215-872-0608
Mailing Address - Fax:
Practice Address - Street 1:123 S MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-2858
Practice Address - Country:US
Practice Address - Phone:215-872-0608
Practice Address - Fax:215-855-3299
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009270101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional