Individual
KATHLEEN MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
150 ROUTE 37 W, TOMS RIVER, NJ 08755-8054
(732) 244-5666
Mailing address
55 RACQUET RD, WALL TOWNSHIP, NJ 07719-9409
(732) 280-3350
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NC03562600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8034508
—
NJ
Enumeration date
11/15/2006
Last updated
07/08/2007
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