Individual
MR. STEPHEN MACCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS-CCC/SLP, ED.S
Contact information
Practice address
86 MILL ST, HAVERHILL, MA 01830-6438
(978) 469-0043
Mailing address
3 HOLLY LN, COHASSET, MA 02025-1905
(781) 383-6901
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3121
MA
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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