Provider Demographics
NPI:1750592325
Name:GARNER-MCGRAW, JO ANN (PHD)
Entity type:Individual
Prefix:DR
First Name:JO
Middle Name:ANN
Last Name:GARNER-MCGRAW
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7313 ARCHERS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:EMERALD ISLE
Mailing Address - State:NC
Mailing Address - Zip Code:28594-3004
Mailing Address - Country:US
Mailing Address - Phone:252-354-7661
Mailing Address - Fax:252-354-7661
Practice Address - Street 1:142 FAIRVIEW DR
Practice Address - Street 2:
Practice Address - City:EMERALD ISLE
Practice Address - State:NC
Practice Address - Zip Code:28594-2711
Practice Address - Country:US
Practice Address - Phone:252-354-7661
Practice Address - Fax:252-354-7661
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1970103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist