Sue McGough, RN
Registered Nurse, Psych/Mental Health, Child & Adolescent in Xenia, OH. Individual provider (NPI-1).
NPI number1326313636
StatusActive
Last updated in NPPESMar 25, 2013
Details
- NPI
- 1326313636
- Entity type
- Individual (NPI-1)
- Name
- Sue McGough
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2012
- Last updated
- Mar 25, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0807X | Registered Nurse, Psych/Mental Health, Child & Adolescent | RN268380 | OH | Yes |
| 163WP0808X | Registered Nurse, Psych/Mental Health | RN.268380 | OH | |
| 163WA0400X | Registered Nurse, Addiction (Substance Use Disorder) | RN268380 | OH |
Practice location
452 W Market StXenia, OH 45385-2815
Phone 937-376-8700 · Fax 937-376-8725
Mailing address
452 W Market StXenia, OH 45385-2815
Phone 937-376-8700 · Fax 937-376-8725
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