Provider Demographics
NPI:1801230677
Name:MCCARTY, REBECCA GOOLD (MSPED)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:GOOLD
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:MSPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 3RD ST
Mailing Address - Street 2:
Mailing Address - City:RENSSELAER
Mailing Address - State:NY
Mailing Address - Zip Code:12144-2113
Mailing Address - Country:US
Mailing Address - Phone:518-365-0642
Mailing Address - Fax:
Practice Address - Street 1:636 MAPLE LN
Practice Address - Street 2:
Practice Address - City:NISKAYUNA
Practice Address - State:NY
Practice Address - Zip Code:12309-3029
Practice Address - Country:US
Practice Address - Phone:518-421-2332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist