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NPI Code Detail

MEDICARE: MS. TERESA LYNN MCGRATH LMFT

MEDICARE: MS. TERESA LYNN MCGRATH LMFT
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
1106H00000XMarriage & Family Therapist5223TX

General Provider Information

NPI Number : 1659473981
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TERESA LYNN MCGRATH LMFT
Provider Business Mailing Address
First Line : 27 SUMMITHILL PL
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77381-4462
Country : US
Telephone Number : 281-620-3849
Fax Number :
Provider Business Practice Location Address
First Line : 3316 MOUNT VERNON ST
Second Line :
City : HOUSTON
State : TX
Zip : 77006-3829
Country : US
Telephone Number : 281-620-3849
Fax Number : 281-363-2231
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2006
Last Update Date : 03/25/2008

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