Provider Demographics
NPI:1699059956
Name:MCGRATH, CARROLL SUZANNE (RNPC, PMHCNS-BC)
Entity type:Individual
Prefix:MS
First Name:CARROLL
Middle Name:SUZANNE
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:RNPC, PMHCNS-BC
Other - Prefix:
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Mailing Address - Street 1:234 RUSSELL ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01035-3534
Mailing Address - Country:US
Mailing Address - Phone:413-367-6337
Mailing Address - Fax:413-320-4797
Practice Address - Street 1:234 RUSSELL ST
Practice Address - Street 2:SUITE 203
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-3534
Practice Address - Country:US
Practice Address - Phone:413-367-6337
Practice Address - Fax:413-320-4797
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-05
Last Update Date:2016-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MARN265957364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult