Provider Demographics
NPI:1750507935
Name:MCBRIDE, GREGORY (MED, LCADC, LPC)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:
Last Name:MCBRIDE
Suffix:
Gender:M
Credentials:MED, LCADC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 CLARKSVILLE RD
Mailing Address - Street 2:SUITE 7A
Mailing Address - City:PRINCETON JCT
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-5300
Mailing Address - Country:US
Mailing Address - Phone:609-275-8855
Mailing Address - Fax:609-275-9655
Practice Address - Street 1:231 CLARKSVILLE RD
Practice Address - Street 2:SUITE 7A
Practice Address - City:PRINCETON JCT
Practice Address - State:NJ
Practice Address - Zip Code:08550-5300
Practice Address - Country:US
Practice Address - Phone:609-275-8855
Practice Address - Fax:609-275-9655
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00050500101YA0400X
NJ37PC00134100101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health