Provider Demographics
NPI:1144435702
Name:MCGOLDRICK, RITA D (MED)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:D
Last Name:MCGOLDRICK
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:
Other - Last Name:DOBBINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21 HOPKINS PL
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-1942
Mailing Address - Country:US
Mailing Address - Phone:413-567-2274
Mailing Address - Fax:
Practice Address - Street 1:110 MAPLE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01105-1864
Practice Address - Country:US
Practice Address - Phone:413-732-7419
Practice Address - Fax:413-781-1059
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health