Provider Demographics
NPI:1104397876
Name:MCGEE, MAUREEN A
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:A
Last Name:MCGEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CORBETT WAY
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-4247
Mailing Address - Country:US
Mailing Address - Phone:732-757-9391
Mailing Address - Fax:
Practice Address - Street 1:701 BROADWAY APT 2
Practice Address - Street 2:
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-9501
Practice Address - Country:US
Practice Address - Phone:732-757-9391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor