DR. MARY LAURA MCGANNON (NPI# 1386064582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386064582 |
| Entity Type | Individual |
| Full Name | DR. MARY LAURA MCGANNON |
| Credential | PH.D |
| Practice Address |
29 Main St Essex CT 06426-1134 |
| Mailing Address |
390 Darling Rd Salem CT 06420-3913 |
| Practice Telephone | 8606391276 |
| Mailing Telephone | 8606391276 |
| Enumeration Date | 2014-04-27 |
| Last Update Date | 2014-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
000176 | CT | Behavioral Health & Social Service Providers |
| Street Address |
29 MAIN ST |
| City | ESSEX |
| State | CT |
| Zip Code | 06426-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123867 | Art Therapy & Creative Counseling | Counselor | 80 Plains Rd Unit 1, Essex, CT 06426 | 2017-06-05 |
| 1487085593 | Catherine Mary Demers | Nurse Practitioner | 10 Wildwood Medical Center, Essex, CT 06426 | 2013-11-29 |
| 1346515723 | Anne Peterson | Counselor | 80 Plains Rd, Essex, CT 06426 | 2012-03-19 |
| 1477851731 | Diana Leigh Amara | Counselor | 80 Plains Road, Essex, CT 06426 | 2011-03-09 |
| 1609034438 | Marybeth Pytlik Ellison | Pediatrics | Sunflower Developmental Pediatrics, 11 Wildwood Medical Center, Essex, CT 06426 | 2008-05-29 |
| 1780749747 | Dana Lyn Martin | Counselor | 190 Westbrook Road, Essex Child Guidance Clinic, Essex, CT 06426 | 2006-12-27 |
| 1881768836 | Jason Christopher Andrade | Counselor | 190 Westbrock Rd, Essex, CT 06426 | 2006-11-20 |
| 1386735546 | Robert D Dwyer | Urology | 6 Wildwood Medical Center, Essex, CT 06426 | 2006-09-27 |
| 1154421071 | Sharon D Mallon | Psychologist | 251 Westbrook Rd, Essex, CT 06426 | 2006-09-22 |
| 1043319510 | Brian David Fay | Social Worker | 251 Westbrook Road, Essex, CT 06426 | 2006-09-21 |
| Find all providers in zip 06426 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669024659 | Samantha Steinmacher | Counselor | 8 Novelty Ln Ste 3, Essex, CT 06426-1168 | 2019-07-10 |
| 1881123867 | Art Therapy & Creative Counseling | Counselor | 80 Plains Rd Unit 1, Essex, CT 06426 | 2017-06-05 |
| 1063861029 | Kimberleigh Vaughan | Counselor | 1600 Riverwood Rd, Essex, MD 21221-2916 | 2016-06-09 |
| 1841694163 | Debora Floyd | Counselor | 912 Sun Circle Way, Essex, MD 21221-5946 | 2014-10-15 |
| 1851738835 | Emmanuella Owobu | Counselor | 131 1/2 Back River Neck Rd, Essex, MD 21221-3923 | 2013-05-30 |
| 1477851731 | Diana Leigh Amara | Counselor | 80 Plains Road, Essex, CT 06426 | 2011-03-09 |
| 1346336955 | April Dawn Manganiello | Counselor | 33 Conomo Point Rd, Essex, MA 01929-1040 | 2006-10-04 |
| 1760049548 | Charonne Covington | Counselor | 18 Arbor Dr, Essex, MD 21221-2619 | 2019-05-28 |
| 1750844635 | Ebony Graham | Counselor | 190 Westbrook Rd, Essex, CT 06426-1518 | 2019-04-09 |
| 1154896710 | Art Therapy & Creative Counseling LLC | Counselor | 80 Plains Rd Unit 1, Essex, CT 06426-0642 | 2018-10-10 |
| Find all providers in ESSEX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.