Provider Demographics
NPI:1225286800
Name:MCGRATH, JOSEPH AUSTIN (MS)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:AUSTIN
Last Name:MCGRATH
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:GROVER BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93483-0550
Mailing Address - Country:US
Mailing Address - Phone:805-540-0819
Mailing Address - Fax:805-291-8011
Practice Address - Street 1:910 RAMONA AVE
Practice Address - Street 2:SUITE I
Practice Address - City:GROVER BEACH
Practice Address - State:CA
Practice Address - Zip Code:93433-2154
Practice Address - Country:US
Practice Address - Phone:805-540-0819
Practice Address - Fax:805-291-8011
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT50500106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist