Doctor Name: | MR. MICHAEL FRANCIS MCQUAID |
NPI Number: | 1063621472 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CAGS, NCSP |
License Number: | MH 446-ED |
Business Practice Address: | 63 Minot Ave Wareham, MA - 02571 |
Business Phone Number: | 5082913555 |
Business Fax Number: | |
Mailing Address: | 8 Heath Rd, WEST WAREHAM |
State: | MA |
Postal Code: | 025761469 |
Phone Number: | 5082951247 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | MH 446-ED |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |