Provider Demographics
NPI:1255791604
Name:EDWARD J. MCGRATH, ED.D.
Entity type:Organization
Organization Name:EDWARD J. MCGRATH, ED.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EDUCATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCGRATH
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:508-473-0026
Mailing Address - Street 1:25 FREEDOM ST
Mailing Address - Street 2:
Mailing Address - City:HOPEDALE
Mailing Address - State:MA
Mailing Address - Zip Code:01747-1133
Mailing Address - Country:US
Mailing Address - Phone:508-473-0026
Mailing Address - Fax:
Practice Address - Street 1:25 FREEDOM ST
Practice Address - Street 2:
Practice Address - City:HOPEDALE
Practice Address - State:MA
Practice Address - Zip Code:01747-1133
Practice Address - Country:US
Practice Address - Phone:508-473-0026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-27
Last Update Date:2016-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health