Doctor Name: | KATHARINE ANNE MCGRORY |
NPI Number: | 1023262045 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., LAPC |
License Number: | APC001539 |
Business Practice Address: | 326 S Main St Statesboro, GA - 304580714 |
Business Phone Number: | 9127647001 |
Business Fax Number: | |
Mailing Address: | 326 South Main Street, STATESBORO |
State: | GA |
Postal Code: | 30458 |
Phone Number: | 9127647001 |
Fax Number: | |
NPI Enumeration Date: | 11/05/2008 |
NPI Last Update Date: | 11/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | APC001539 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |