MEDICARE: MS. SHEILAGH K MCGREAL MS-ATR-BC, LCAT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	567	NY

General Provider Information

NPI Number	:	1164667309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHEILAGH K MCGREAL MS-ATR-BC, LCAT

Provider Business Mailing Address
First Line	:	595 BLOSSOM RD
Second Line	:	SUITE 310
City	:	ROCHESTER
State	:	NY
Zip	:	14610-1825
Country	:	US
Telephone Number	:	585-420-8494
Fax Number	:

Provider Business Practice Location Address
First Line	:	595 BLOSSOM RD
Second Line	:	SUITE 310
City	:	ROCHESTER
State	:	NY
Zip	:	14610-1825
Country	:	US
Telephone Number	:	585-420-8494
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2008
Last Update Date	:	02/06/2017

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