Individual
STACY MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
7594 S 100 E, PENDLETON, IN 46064-9398
(765) 623-3056
Mailing address
6330 E 75TH ST STE 206, INDIANAPOLIS, IN 46250-2700
(317) 284-1166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007212A
IN
Other
Enumeration date
06/13/2019
Last updated
09/22/2023
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