Healthcare Provider Details

I. General information

NPI: 1932359007
Provider Name (Legal Business Name): CHRISTINA M MCGRATH-FAIR MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA MCGRATH

II. Dates (important events)

Enumeration Date: 09/25/2008
Last Update Date: 11/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

334 YORK ST
GETTYSBURG PA
17325-1930
US

IV. Provider business mailing address

200 N 7TH ST
LEBANON PA
17046-5040
US

V. Phone/Fax

Practice location:
  • Phone: 717-337-0026
  • Fax: 717-337-1260
Mailing address:
  • Phone: 717-273-1710
  • Fax: 717-273-1416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC006116
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: