Provider Demographics
NPI:1578871901
Name:MCGATHEY, GRACE DIANE
Entity Type:Individual
Prefix:
First Name:GRACE
Middle Name:DIANE
Last Name:MCGATHEY
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 1:460 TRAPELO RD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-1421
Mailing Address - Country:US
Mailing Address - Phone:781-864-3543
Mailing Address - Fax:
Practice Address - Street 1:460 TRAPELO RD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-1421
Practice Address - Country:US
Practice Address - Phone:781-864-3543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-20
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical