Provider Demographics
NPI:1053131706
Name:MAGRATH, SAVANNAH LYNN
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:LYNN
Last Name:MAGRATH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 FOLGER ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14220-1433
Mailing Address - Country:US
Mailing Address - Phone:716-936-6625
Mailing Address - Fax:
Practice Address - Street 1:41 MAIN ST STE 18
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-3662
Practice Address - Country:US
Practice Address - Phone:716-433-3846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)