Provider Demographics
NPI:1699022533
Name:MCCARTHY, PATRICIA M (MS CCC/SLP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:M
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WHITNEY RD.
Mailing Address - Street 2:COMMUNIY BRIDGES
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301
Mailing Address - Country:US
Mailing Address - Phone:603-225-4153
Mailing Address - Fax:
Practice Address - Street 1:2 WHITNEY RD.
Practice Address - Street 2:COMMUNIY BRIDGES
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:603-225-4153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0437235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist