Individual
DR. TIMOTHY J. MCCARTHY
Active
Individual
DR. TIMOTHY J. MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 2386
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26773MC
BLUECROSS
MN
01
—
61-20100
UBH
MN
01
—
875-001
PREFERREDONE
MN
Enumeration date
06/03/2006
Last updated
08/10/2012
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