Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 4584 | OH |
N | 103TC0700X | Clinical Psychologist | 4584 | OH |
N | 102L00000X | Psychologist | 4584 | OH |
N | 103T00000X | Psychologist | 4584 | OH |
N | 103TA0700X | Adult Development & Aging Psychologist | 4584 | OH |
Y | 103G00000X | Clinical Psychologist | 4584 | OH |
Y | 103TC0700X | Clinical Psychologist | 4584 | OH |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 4584 | OH |
N | 103TF0000X | Family Psychologist | 4584 | OH |
N | 103TH0100X | Health Service | 4584 | OH |
N | 103TM1800X | Intellectual & Developmental Disabilities | 4584 | OH |
N | 103TP0814X | Psychoanalysis | 4584 | OH |
N | 103TP2701X | Group Psychotherapist | 4584 | OH |
N | 103TR0400X | Rehabilitation Psychologist | 4584 | OH |
NPI | 1861511149 |
---|---|
Provider Name | Dr. Carolyn Mccreary |
First Address | Columbus, OH 43219-6035 |
Second Address | Columbus, OH 43219-6035 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 26/04/2021 |