Provider Demographics
NPI:1841087467
Name:MCGOUGH, SARAH GRACE (RN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:GRACE
Last Name:MCGOUGH
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 FITZROY DR STE 404
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-1659
Mailing Address - Country:US
Mailing Address - Phone:856-904-3617
Mailing Address - Fax:
Practice Address - Street 1:1 DERBY ST STE 206
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-3786
Practice Address - Country:US
Practice Address - Phone:856-904-3617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor