# BEAVER PSYCHIATRIC SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457803843
- **Authorized official:** MARCY MCCORMICK CRNP (OWNER)
- **Authorized official phone:** (724) 544-9190

## Contact information

- **Practice address:** 935 BANK ST, BEAVER, PA 15009-2603
- **Practice address phone:** (724) 544-9190
- **Mailing address:** 336 COLLEGE AVE, SUITE 102, BEAVER, PA 15009-2231
- **Mailing address phone:** (724) 544-9190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | SP012444 | PA | Yes |

## Other

- **Enumeration date:** 11/01/2016
- **Last updated:** 06/08/2017