Doctor Name: | JAMES MCGREEVEY |
NPI Number: | 1538304738 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | 04087 |
Business Practice Address: | 1205 York Rd Lutherville Timonium, MD - 210936210 |
Business Phone Number: | 4108286062 |
Business Fax Number: | |
Mailing Address: | Po Box 47222, BALTIMORE |
State: | MD |
Postal Code: | 212440222 |
Phone Number: | 4102988223 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2008 |
NPI Last Update Date: | 12/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 04087 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |