Doctor Name: | KRISTIN MARY HERRO MCCARTY |
NPI Number: | 1013058163 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | 3485-125 |
Business Practice Address: | 4402 S 68th St #100 Greenfield, WI - 532203479 |
Business Phone Number: | 4143214411 |
Business Fax Number: | 4143210552 |
Mailing Address: | 12912 W Graham St, NEW BERLIN |
State: | WI |
Postal Code: | 531512639 |
Phone Number: | 2627542743 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3485-125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |