Individual
DR. TIMOTHY J. MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8400 NORMANDALE LAKE BLVD, SUITE 920, BLOOMINGTON, MN 55437-1085
(952) 921-8248
Mailing address
8400 NORMANDALE LAKE BLVD, SUITE 920, BLOOMINGTON, MN 55437-1085
(952) 921-8248
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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