Provider Demographics
NPI:1770531048
Name:MCCARTHY, TRACEY S (MSED, LPC, BCC,)
Entity type:Individual
Prefix:MS
First Name:TRACEY
Middle Name:S
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:MSED, LPC, BCC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 GETTYSBURG ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-4547
Mailing Address - Country:US
Mailing Address - Phone:724-325-0025
Mailing Address - Fax:888-867-9956
Practice Address - Street 1:6736 REYNOLDS ST FL 2
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-4512
Practice Address - Country:US
Practice Address - Phone:724-325-0025
Practice Address - Fax:888-867-9956
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002633101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional