Individual
COLLEEN MCCARTHY
Active
Individual
COLLEEN MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
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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