Provider Demographics
NPI:1659778363
Name:MCCARTHY, CATHY (CN)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2224
Mailing Address - Street 2:
Mailing Address - City:POUND RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10576-3420
Mailing Address - Country:US
Mailing Address - Phone:203-900-7807
Mailing Address - Fax:
Practice Address - Street 1:35 SIXTH ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-4603
Practice Address - Country:US
Practice Address - Phone:203-324-5338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-24
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education