Provider Demographics
NPI:1770668105
Name:MC CARTY, DOW GREG (PHD)
Entity Type:Individual
Prefix:
First Name:DOW
Middle Name:GREG
Last Name:MC CARTY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7318 E PINE ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74115-5743
Mailing Address - Country:US
Mailing Address - Phone:918-798-0779
Mailing Address - Fax:918-583-1398
Practice Address - Street 1:7318 E PINE ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74115-5743
Practice Address - Country:US
Practice Address - Phone:918-798-0779
Practice Address - Fax:918-583-1398
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK644103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100659430AMedicaid
OK731398524001OtherBLUE CROSS
OK100659430BMedicaid
OK100659430DMedicaid
OK73-1398524Medicare UPIN