Provider Demographics
NPI:1194362798
Name:DANIEL MCGRATH, MARRIAGE AND FAMILY THERAPIST, PROFESSIONAL
Entity Type:Organization
Organization Name:DANIEL MCGRATH, MARRIAGE AND FAMILY THERAPIST, PROFESSIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MCGRATH
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:619-888-6444
Mailing Address - Street 1:4401 MANCHESTER AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-7904
Mailing Address - Country:US
Mailing Address - Phone:619-888-6444
Mailing Address - Fax:
Practice Address - Street 1:4401 MANCHESTER AVE STE 204
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-7904
Practice Address - Country:US
Practice Address - Phone:619-888-6444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty