Individual
CORI E MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3 COOPER PLZ RM 513, CAMDEN, NJ 08103
(856) 963-3715
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 382-6530
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS016624
PA
2084P0802X
Addiction Psychiatry Physician
Primary
35SI00475300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35DI00475300
STATE
NJ
01
—
PS016624
PA LICENSE
PA
Enumeration date
06/23/2009
Last updated
05/06/2019
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