Provider Demographics
NPI:1457765380
Name:MCGRATH, ARIEL NICOLE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ARIEL
Middle Name:NICOLE
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MS
Other - First Name:ARIEL
Other - Middle Name:NICOLE
Other - Last Name:MAISENHELDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:P.O. BOX 300
Mailing Address - Street 2:
Mailing Address - City:BOICEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12412
Mailing Address - Country:US
Mailing Address - Phone:845-657-6383
Mailing Address - Fax:845-657-8742
Practice Address - Street 1:4166 STATE ROUTE 28
Practice Address - Street 2:
Practice Address - City:BOICEVILLE
Practice Address - State:NY
Practice Address - Zip Code:12412
Practice Address - Country:US
Practice Address - Phone:845-657-6383
Practice Address - Fax:845-657-8742
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023800235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist