Provider Demographics
NPI:1144528761
Name:MCCARRIER, JAMES F (NCSP)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:F
Last Name:MCCARRIER
Suffix:
Gender:M
Credentials:NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N2788 SHORE DR
Mailing Address - Street 2:
Mailing Address - City:MARINETTE
Mailing Address - State:WI
Mailing Address - Zip Code:54143-9566
Mailing Address - Country:US
Mailing Address - Phone:715-923-7477
Mailing Address - Fax:
Practice Address - Street 1:N2788 SHORE DR
Practice Address - Street 2:
Practice Address - City:MARINETTE
Practice Address - State:WI
Practice Address - Zip Code:54143-9566
Practice Address - Country:US
Practice Address - Phone:715-923-7477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-06
Last Update Date:2011-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI296-058103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool