Provider Demographics
NPI:1659677573
Name:DOWNEY-MCCARTHY, ROSEMARIE RITA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARIE
Middle Name:RITA
Last Name:DOWNEY-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 1:3711 MAYBERRY ROAD
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:WA
Mailing Address - Zip Code:98531
Mailing Address - Country:US
Mailing Address - Phone:360-836-0493
Mailing Address - Fax:
Practice Address - Street 1:221 N TOWER AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-4309
Practice Address - Country:US
Practice Address - Phone:360-836-0493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-10
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60448678103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR164936Medicaid