Provider Demographics
NPI:1164558011
Name:MCCARTHY, THOMAS A (LPC)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:A
Last Name:MCCARTHY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 NORTHAMPTON BLVD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08757-2418
Mailing Address - Country:US
Mailing Address - Phone:732-505-9908
Mailing Address - Fax:
Practice Address - Street 1:813 NORTHAMPTON BLVD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08757-2418
Practice Address - Country:US
Practice Address - Phone:732-505-9908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00304900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional