Provider Demographics
NPI:1184752321
Name:MCCARTHY, CHRISTINE PATRICIA (MA, CCC-SP)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:PATRICIA
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:MA, CCC-SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 INVERNESS RD
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-2479
Mailing Address - Country:US
Mailing Address - Phone:630-969-0987
Mailing Address - Fax:
Practice Address - Street 1:421 S CLAY ST
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-4035
Practice Address - Country:US
Practice Address - Phone:630-323-3244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist