Provider Demographics
NPI:1043409972
Name:MCGRAIL, BERNADETTE M (MED LMHC)
Entity Type:Individual
Prefix:MRS
First Name:BERNADETTE
Middle Name:M
Last Name:MCGRAIL
Suffix:
Gender:F
Credentials:MED LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 TWIN LAKES DR
Mailing Address - Street 2:
Mailing Address - City:HALIFAX
Mailing Address - State:MA
Mailing Address - Zip Code:02338-2206
Mailing Address - Country:US
Mailing Address - Phone:339-788-8328
Mailing Address - Fax:
Practice Address - Street 1:87 TWIN LAKES DR
Practice Address - Street 2:
Practice Address - City:HALIFAX
Practice Address - State:MA
Practice Address - Zip Code:02338-2206
Practice Address - Country:US
Practice Address - Phone:339-788-8328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7282101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1992819411Medicaid