Provider Demographics
NPI:1851252910
Name:MCCARTHY, SARA DECKER (CCLS)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:DECKER
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:CCLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 CARLSON PKWY APT 112
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-5325
Mailing Address - Country:US
Mailing Address - Phone:612-741-8040
Mailing Address - Fax:
Practice Address - Street 1:330 CARLSON PKWY APT 112
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-5325
Practice Address - Country:US
Practice Address - Phone:612-741-8040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist