Provider Demographics
NPI:1164511234
Name:MCGRAW, BETH J (PHD)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:J
Last Name:MCGRAW
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:J
Other - Last Name:MCGRAW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:101 BODIN CIR, TRAVIS AFB
Mailing Address - Street 2:60 MDOS SGOH
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94535
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 BODIN CIR, TRAVIS AFB
Practice Address - Street 2:60 MDOS SGOH
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94535
Practice Address - Country:US
Practice Address - Phone:707-423-5174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health