Doctor Name: | DR. JAMES A MCGRUDER |
NPI Number: | 1023351657 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRC |
License Number: | |
Business Practice Address: | 360 Cherrywood Dr Clementon, NJ - 080215622 |
Business Phone Number: | 8569813126 |
Business Fax Number: | |
Mailing Address: | 360 Cherrywood Dr, CLEMENTON |
State: | NJ |
Postal Code: | 080215622 |
Phone Number: | 8569813126 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2013 |
NPI Last Update Date: | 04/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TR0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |