Healthcare Provider Details
I. General information
NPI: 1841439668
Provider Name (Legal Business Name): CATHERINE B MCGRATH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/18/2009
Last Update Date: 05/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3 W OLIVE ST SUITE 106
SCRANTON PA
18508-2572
US
IV. Provider business mailing address
3 W OLIVE ST SUITE 106
SCRANTON PA
18508-2572
US
V. Phone/Fax
- Phone: 570-344-0744
- Fax: 570-344-6265
- Phone: 570-344-0744
- Fax: 570-344-6265
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231HA2400X |
| Taxonomy | Assistive Technology Practitioner Audiologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231HA2500X |
| Taxonomy | Assistive Technology Supplier Audiologist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CATHERINE
B
MCGRATH
Title or Position: OWNER/AUDIOLOGIST
Credential: AU.D.
Phone: 570-344-0744