Provider Demographics
NPI:1124320643
Name:MCGURK, MAUREEN P (MS, MED, LPC, CHA)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:P
Last Name:MCGURK
Suffix:
Gender:F
Credentials:MS, MED, LPC, CHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1706
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901
Mailing Address - Country:US
Mailing Address - Phone:215-230-3727
Mailing Address - Fax:877-408-8002
Practice Address - Street 1:301 S. MAIN ST.
Practice Address - Street 2:2 WEST
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901
Practice Address - Country:US
Practice Address - Phone:215-230-3727
Practice Address - Fax:877-408-8002
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACERTIFICATION 7054101YA0400X
PAPC005576101YP2500X
PACERTIFICATION#7054101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)