MEDICARE: LAURA MCCARTHY PH.D., 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
1	106H00000X	Marriage & Family Therapist	MFT-854	CO

General Provider Information

NPI Number	:	1548455520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA MCCARTHY PH.D., LMFT

Provider Business Mailing Address
First Line	:	7220 W JEFFERSON AVE
Second Line	:	SUITE 407
City	:	LAKEWOOD
State	:	CO
Zip	:	80235-2031
Country	:	US
Telephone Number	:	720-384-4696
Fax Number	:	303-816-9627

Provider Business Practice Location Address
First Line	:	7220 W JEFFERSON AVE
Second Line	:	SUITE 407
City	:	LAKEWOOD
State	:	CO
Zip	:	80235-2031
Country	:	US
Telephone Number	:	720-384-4696
Fax Number	:	303-816-9627

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2007
Last Update Date	:	10/25/2024

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