Individual
COLLEEN MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
66 CLUB RD STE 160, EUGENE, OR 97401-2439
(541) 345-1722
(541) 485-7049
Mailing address
PO BOX 70779, SPRINGFIELD, OR 97475-0137
(541) 345-1722
(541) 485-7049
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3342
OR
103TC1900X
Counseling Psychologist
3342
OR
103TC1900X
Counseling Psychologist
3422
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15920762
CAQH ID
—
05
—
500818152
—
OR
Enumeration date
03/31/2023
Last updated
05/24/2023
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