Provider Demographics
NPI:1609034776
Name:FITZSIMMONS-MCGRAW, MEGAN (LMHC)
Entity Type:Individual
Prefix:MISS
First Name:MEGAN
Middle Name:
Last Name:FITZSIMMONS-MCGRAW
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:374 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:HANSON
Mailing Address - State:MA
Mailing Address - Zip Code:02341-1639
Mailing Address - Country:US
Mailing Address - Phone:508-400-7390
Mailing Address - Fax:508-824-5572
Practice Address - Street 1:675 PARAMOUNT DR
Practice Address - Street 2:SUITE 204
Practice Address - City:RAYNHAM
Practice Address - State:MA
Practice Address - Zip Code:02767-5416
Practice Address - Country:US
Practice Address - Phone:508-824-1780
Practice Address - Fax:508-824-5572
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6582101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health