Provider Demographics
NPI:1013741602
Name:MCCARTHY, ANDREA KRETCHMER (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:KRETCHMER
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:LAUREN
Other - Last Name:KRETCHMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:541 25TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-2326
Mailing Address - Country:US
Mailing Address - Phone:847-636-6530
Mailing Address - Fax:
Practice Address - Street 1:2401 S IRVING ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-3727
Practice Address - Country:US
Practice Address - Phone:206-252-2763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL61213535235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist