Individual
RHETT E MCCARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01691
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498129709
—
MO
01
—
MA1304001
MEDICARE INDIVIDUAL
MO
Enumeration date
09/15/2006
Last updated
12/16/2008
Update your record
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