Provider Demographics
NPI:1184780561
Name:MCGRATH, NEAL (PHD)
Entity type:Individual
Prefix:DR
First Name:NEAL
Middle Name:
Last Name:MCGRATH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
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Mailing Address - Street 1:26 PLOWGATE RD
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-3723
Mailing Address - Country:US
Mailing Address - Phone:617-323-3734
Mailing Address - Fax:617-323-3734
Practice Address - Street 1:1368 BEACON ST STE 116
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-2800
Practice Address - Country:US
Practice Address - Phone:617-959-1010
Practice Address - Fax:617-734-0734
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA3972103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110023230AMedicaid
MA110023230AMedicaid