MEDICARE: ANDRIA MCCARTY 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
1	103T00000X	Psychologist	37616	TX
2	103TC0700X	Clinical Psychologist	37616	TX

General Provider Information

NPI Number	:	1639588379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDRIA MCCARTY PHD

Provider Business Mailing Address
First Line	:	8390 LBJ FWY STE 575
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-1188
Country	:	US
Telephone Number	:	214-918-1999
Fax Number	:

Provider Business Practice Location Address
First Line	:	8390 LBJ FWY STE 575
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-1188
Country	:	US
Telephone Number	:	214-918-1999
Fax Number	:

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

Provider Enumeration Date	:	08/07/2014
Last Update Date	:	02/27/2024

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Directions to “ ANDRIA MCCARTY PHD” Practice Location

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