Individual
DANIEL H MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIC PSYCHOLOGIST
Contact information
Practice address
3375 US ROUTE 60, HUNTINGTON, WV 25705-2837
(304) 525-7851
(304) 525-1504
Mailing address
2705 E 17TH ST, AMMON, ID 83406-6601
(208) 346-7500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY202726
ID
103TC0700X
Clinical Psychologist
Primary
1069
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005355002
—
WV
05
—
1083953871
—
ID
Enumeration date
02/14/2013
Last updated
01/09/2023
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