Provider Demographics
NPI:1669183901
Name:MAGUIRE, JOSEPH READING
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:READING
Last Name:MAGUIRE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 LOCUST GROVE DR
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28785-9677
Mailing Address - Country:US
Mailing Address - Phone:915-383-7920
Mailing Address - Fax:
Practice Address - Street 1:178 LOCUST GROVE DR
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28785-9677
Practice Address - Country:US
Practice Address - Phone:915-383-7920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician