Individual
DR. BRUCE K MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3341 YOUREE DR STE 20A, SHREVEPORT, LA 71105-2149
(318) 865-7500
(318) 868-2035
Mailing address
3341 YOUREE DR STE 20A, SHREVEPORT, LA 71105-2149
(318) 865-7500
(318) 868-2035
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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