Provider Demographics
NPI:1609134295
Name:MCCARTHY, CAROL SINDER (MA, MED)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:SINDER
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:MA, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13716 LAKE CITY WAY NE
Mailing Address - Street 2:#709
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-2600
Mailing Address - Country:US
Mailing Address - Phone:360-631-2482
Mailing Address - Fax:
Practice Address - Street 1:14040 NE 8TH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-4122
Practice Address - Country:US
Practice Address - Phone:425-273-4664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60275945106H00000X
MAMH1103MF106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist