Provider Demographics
NPI:1184902355
Name:MCCARTHY, KATHERINE (PHD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 MASSACHUSETTS AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-3750
Mailing Address - Country:US
Mailing Address - Phone:978-264-3500
Mailing Address - Fax:978-263-3498
Practice Address - Street 1:360 MASSACHUSETTS AVE STE 103
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-3750
Practice Address - Country:US
Practice Address - Phone:978-264-3500
Practice Address - Fax:978-263-3498
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-22
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health