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NPI Code Detail

MEDICARE: DR. LAUREN PRYCE MCCARTHY PHD

MEDICARE: DR. LAUREN PRYCE MCCARTHY PHD
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
11041C0700XClinical Social WorkerCW020338PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CW020338OTHERPASTATE LICENSE - LICENSED CLINICAL SOCIAL WORKER

General Provider Information

NPI Number : 1063136919
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN PRYCE MCCARTHY PHD
Provider Business Mailing Address
First Line : 1781 YORK ST APT 447
Second Line :
City : DENVER
State : CO
Zip : 80206-1258
Country : US
Telephone Number : 610-662-4461
Fax Number :
Provider Business Practice Location Address
First Line : 1781 YORK ST APT 447
Second Line :
City : DENVER
State : CO
Zip : 80206-1258
Country : US
Telephone Number : 610-662-4461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2022
Last Update Date : 10/03/2022

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