Provider Demographics
NPI:1326172537
Name:MCGRATH, ROBERT (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:MCGRATH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 RIVER RD
Mailing Address - Street 2:FAIRLEIGH DICKINSON UNIVERSITY
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-1914
Mailing Address - Country:US
Mailing Address - Phone:201-692-2445
Mailing Address - Fax:201-692-2304
Practice Address - Street 1:1000 RIVER RD
Practice Address - Street 2:FAIRLEIGH DICKINSON UNIVERSITY
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-1914
Practice Address - Country:US
Practice Address - Phone:201-692-2445
Practice Address - Fax:201-692-2304
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010917103TC0700X
NJ2239103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical