Provider Demographics
NPI:1710075593
Name:MCGRATH, MARIANNE SMITH (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIANNE
Middle Name:SMITH
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8260 NORTHCREEK DR
Mailing Address - Street 2:SUITE 380
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2293
Mailing Address - Country:US
Mailing Address - Phone:513-271-0803
Mailing Address - Fax:513-272-4132
Practice Address - Street 1:8260 NORTHCREEK DR
Practice Address - Street 2:SUITE 380
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2293
Practice Address - Country:US
Practice Address - Phone:513-271-0803
Practice Address - Fax:513-272-4132
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0327982084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHMC0492872Medicare ID - Type Unspecified
OHCO2044Medicare UPIN