Provider Demographics
NPI:1063537033
Name:MCCARTHY, LISA K (PSYD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:K
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 NORTH HIGH STREET
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2381
Mailing Address - Country:US
Mailing Address - Phone:614-888-1800
Mailing Address - Fax:614-888-9664
Practice Address - Street 1:7100 NORTH HIGH STREET
Practice Address - Street 2:SUITE 205
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2381
Practice Address - Country:US
Practice Address - Phone:614-888-1800
Practice Address - Fax:614-888-9664
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5710103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical