Doctor Name: | LOREDANA MCCARTY |
NPI Number: | 1033509021 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 05616 |
Business Practice Address: | 110 E Pennsylvania Ave Towson, MD - 212865118 |
Business Phone Number: | 4105832222 |
Business Fax Number: | |
Mailing Address: | 110 E Pennsylvania Ave, TOWSON |
State: | MD |
Postal Code: | 212865118 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/28/2015 |
NPI Last Update Date: | 01/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 05616 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |