Individual
RHETT E MCCARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
312 EAST CAPITOL AVENUE, JEFFERSON CITY, MO 65101-0456
(573) 635-7166
(573) 634-7431
Mailing address
312 EAST CAPITOL AVENUE, P.O. BOX 456, JEFFERSON CITY, MO 65102-0456
(573) 635-7166
(573) 634-7431
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
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