Provider Demographics
NPI:1598428948
Name:MCGRODY, ERIN MARY (LPC)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:MARY
Last Name:MCGRODY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 STREET RD STE 410
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-3752
Mailing Address - Country:US
Mailing Address - Phone:215-782-6844
Mailing Address - Fax:
Practice Address - Street 1:1950 STREET RD STE 410
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-3752
Practice Address - Country:US
Practice Address - Phone:215-782-6844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013665101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional