Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 8659173796687383631 | PA |
NPI | 1104274208 |
---|---|
Provider Name | Erin Mccarthy Mcmonagle |
First Address | Collegeville, PA 19426-2434 |
Second Address | Collegeville, PA 19426-2434 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2016 |
Last Update Date | 30/05/2016 |