Provider Demographics
NPI:1669894630
Name:MCGRORY, ANITA
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:MCGRORY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 JEFFERSON BLVD STE 2001
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2245
Mailing Address - Country:US
Mailing Address - Phone:401-773-2711
Mailing Address - Fax:401-921-3327
Practice Address - Street 1:21 STOREY AVE STE 1A
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-1848
Practice Address - Country:US
Practice Address - Phone:978-255-7186
Practice Address - Fax:978-255-7186
Is Sole Proprietor?:No
Enumeration Date:2014-01-10
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA276237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1598891855Medicaid