Provider Demographics
NPI:1972801777
Name:MCGARRY, PAUL (LCSW)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:MCGARRY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21360 N. 1450 E.
Mailing Address - Street 2:
Mailing Address - City:MORONI
Mailing Address - State:UT
Mailing Address - Zip Code:84646
Mailing Address - Country:US
Mailing Address - Phone:435-462-5704
Mailing Address - Fax:435-462-5703
Practice Address - Street 1:15620 N. 8500 E.
Practice Address - Street 2:
Practice Address - City:SPRING CITY
Practice Address - State:UT
Practice Address - Zip Code:84662
Practice Address - Country:US
Practice Address - Phone:435-462-5704
Practice Address - Fax:435-462-5703
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT130320-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical