Provider Demographics
NPI:1639898265
Name:MCVEARRY, MADELINE ANNE
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:ANNE
Last Name:MCVEARRY
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 1:1015 VINEYARD HILL RD
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-5360
Mailing Address - Country:US
Mailing Address - Phone:443-852-6572
Mailing Address - Fax:
Practice Address - Street 1:22 WEST RD STE 101
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2308
Practice Address - Country:US
Practice Address - Phone:443-836-5400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09736225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty