Individual
DR. JOAN MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D, CCC/A
Contact information
Practice address
990 PARADISE RD, SUITE 1G, SWAMPSCOTT, MA 01907-1395
(781) 479-6316
(781) 987-7272
Mailing address
49 SHERWOOD RD, SWAMPSCOTT, MA 01907-2147
(781) 479-6316
(781) 987-7272
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
237
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5102758
—
MA
Enumeration date
06/28/2006
Last updated
07/08/2007
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