Provider Demographics
NPI:1275710089
Name:MCCARTHY, MARY G (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:G
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 BEE CAVE ROAD BOX N
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5571
Mailing Address - Country:US
Mailing Address - Phone:512-329-8000
Mailing Address - Fax:512-329-8299
Practice Address - Street 1:2901 BEE CAVE ROAD BOX N
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5571
Practice Address - Country:US
Practice Address - Phone:512-329-8000
Practice Address - Fax:512-329-8299
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31005103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist