Provider Demographics
NPI:1184835142
Name:MCCARTHY, VALERIE C (ATR-BC)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:C
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 E SAINT CATHERINE ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40203-3409
Mailing Address - Country:US
Mailing Address - Phone:502-587-5080
Mailing Address - Fax:502-587-5009
Practice Address - Street 1:607 E SAINT CATHERINE ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-3409
Practice Address - Country:US
Practice Address - Phone:502-587-5080
Practice Address - Fax:502-587-5009
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0169221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist