Provider Demographics
NPI:1609062322
Name:MCGRATH, ALISON LYNNE (LCPC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:LYNNE
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 CHARLES RD
Mailing Address - Street 2:
Mailing Address - City:CAPE ELIZABETH
Mailing Address - State:ME
Mailing Address - Zip Code:04107-1334
Mailing Address - Country:US
Mailing Address - Phone:207-450-4126
Mailing Address - Fax:207-450-4126
Practice Address - Street 1:16 CHARLES RD
Practice Address - Street 2:
Practice Address - City:CAPE ELIZABETH
Practice Address - State:ME
Practice Address - Zip Code:04107-1334
Practice Address - Country:US
Practice Address - Phone:207-450-4126
Practice Address - Fax:207-450-4126
Is Sole Proprietor?:No
Enumeration Date:2007-09-17
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL3128101YP2500X
MECC3419101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional