Provider Demographics
NPI:1093331233
Name:MCGRATH, HANNAH KATHLEEN (MDIV/MA COUNSELING)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:KATHLEEN
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:MDIV/MA COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1469 PACIFIC ST APT 16
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-3236
Mailing Address - Country:US
Mailing Address - Phone:215-589-8268
Mailing Address - Fax:
Practice Address - Street 1:26 COURT ST STE 1210
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11242-1112
Practice Address - Country:US
Practice Address - Phone:917-727-8437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-23
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP105418101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health