Provider Demographics
NPI:1053514240
Name:MAUREEN MCGARTY PSYCHOLOGIST PC
Entity type:Organization
Organization Name:MAUREEN MCGARTY PSYCHOLOGIST PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCGARTY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:706-340-6131
Mailing Address - Street 1:531 SAN MARCOS ROAD
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-3331
Mailing Address - Country:US
Mailing Address - Phone:706-340-6131
Mailing Address - Fax:
Practice Address - Street 1:531 SAN MARCOS ROAD
Practice Address - Street 2:
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-3331
Practice Address - Country:US
Practice Address - Phone:706-340-6131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY001230103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1669503041OtherINDIVIDUAL NPI ENUMERATOR
1669503041OtherINDIVIDUAL NPI ENUMERATOR