Individual
DR. BRUCE K MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
631
LA
103TC1900X
Counseling Psychologist
631
LA
103TC2200X
Clinical Child & Adolescent Psychologist
631
LA
103TF0000X
Family Psychologist
631
LA
103TP0016X
Prescribing (Medical) Psychologist
631MP
LA
103TP0016X
Prescribing (Medical) Psychologist
Primary
MPAP.000013
LA
103TS0200X
School Psychologist
631
LA
106H00000X
Marriage & Family Therapist
631
LA
Other
Enumeration date
08/24/2006
Last updated
09/19/2023
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