Provider Demographics
NPI:1912053604
Name:MCGUINNESS, THOMAS PATRICK (PHD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:PATRICK
Last Name:MCGUINNESS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:40 WINDSOR RD
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-1441
Mailing Address - Country:US
Mailing Address - Phone:617-552-3310
Mailing Address - Fax:617-552-2562
Practice Address - Street 1:140 COMMONWEALTH AVE
Practice Address - Street 2:BOSTON COLLEGE
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-3803
Practice Address - Country:US
Practice Address - Phone:617-552-3310
Practice Address - Fax:617-552-2562
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA4795103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist