Provider Demographics
NPI:1356424527
Name:MACGREGOR BEHAVIORAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:MACGREGOR BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JO
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MACGREGOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:717-337-3005
Mailing Address - Street 1:1400 PROLINE PLACE
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-9402
Mailing Address - Country:US
Mailing Address - Phone:717-337-3005
Mailing Address - Fax:717-337-3301
Practice Address - Street 1:1400 PROLINE PLACE
Practice Address - Street 2:SUITE 1000
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-9402
Practice Address - Country:US
Practice Address - Phone:717-337-3005
Practice Address - Fax:717-337-3301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty