Individual
DR. MICHAEL JAMES MCGRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3701 W 49TH ST, SUITE 203, SIOUX FALLS, SD 57106-4241
(605) 351-5987
(605) 271-4495
Mailing address
PO BOX 88834, SIOUX FALLS, SD 57109-8834
(605) 351-5987
(605) 271-4495
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
211
SD
103T00000X
Psychologist
211
SD
103TC0700X
Clinical Psychologist
211
SD
103TF0200X
Forensic Psychologist
211
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22279
PSYCHOLOGIST/SIOUX VALLEY
SD
01
—
4999824
PSYCHOLOGIST/BLUE CROSS/B
SD
Enumeration date
08/15/2006
Last updated
05/21/2008
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