Individual
MAUREEN ELEONORA MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1330 BEACON ST, STE 203, BROOKLINE, MA 02446-3202
(617) 970-3275
Mailing address
PO BOX 440315, WEST SOMERVILLE, MA 02144-0027
(617) 970-3275
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7912
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153512
CIGNA BEHAVIORAL HEALTH
MA
01
—
409535
TUFTS PPO
MA
01
—
7224414
AETNA HEALTH CARE
MA
01
—
W06095
BCBS OF MASSACHUSETTS
MA
Enumeration date
01/23/2007
Last updated
07/08/2007
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