| Mathew Mccarthy, Md, Sc | |
|
712 55th St Kenosha WI 53140-6506 | |
| (262) 842-0538 | |
| Not Available |
| Full Name | Mathew Mccarthy, Md, Sc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 712 55th St, Kenosha, Wisconsin |
| Authorized Official Name and Position | Mathew Sean Mccarthy (PRESIDENT) |
| Authorized Official Contact | 2628420538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mathew Mccarthy, Md, Sc 5407 8th Ave Kenosha WI 53140-3715 Ph: (262) 657-7188 | Mathew Mccarthy, Md, Sc 712 55th St Kenosha WI 53140-6506 Ph: (262) 842-0538 |
| NPI Number | 1326179987 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326179987 | NPI | - | NPPES |
| 34737900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 49892 (Wisconsin) | Primary |
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