Provider Demographics
NPI:1891989414
Name:MCCARTHY, LINDSEY NICOLE (CST/CFA)
Entity Type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:NICOLE
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:CST/CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2612 HIDDEN VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-2531
Mailing Address - Country:US
Mailing Address - Phone:214-625-9629
Mailing Address - Fax:214-585-4969
Practice Address - Street 1:2612 HIDDEN VALLEY DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-2531
Practice Address - Country:US
Practice Address - Phone:214-625-9629
Practice Address - Fax:214-585-4969
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX520466246ZS0410X
TXC07-1107A246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist