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NPI Code Detail

MEDICARE: MR. TOBY SHANE MCCARTHY LMFT

MEDICARE:  MR. TOBY SHANE MCCARTHY  LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMFC35538CA

General Provider Information

NPI Number : 1366459067
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TOBY SHANE MCCARTHY LMFT
Provider Business Mailing Address
First Line : 1633 E 4TH ST
Second Line : SUITE 120
City : SANTA ANA
State : CA
Zip : 92701-5163
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1633 E 4TH ST
Second Line : SUITE 120
City : SANTA ANA
State : CA
Zip : 92701-5163
Country : US
Telephone Number : 714-565-2830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 07/19/2007

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Directions to “ MR. TOBY SHANE MCCARTHY LMFT” Practice Location

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