Individual
COLIN L MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
301 GIROD ST, MANDEVILLE, LA 70448-5812
(985) 674-3331
(985) 626-9578
Mailing address
301 GIROD ST, MANDEVILLE, LA 70448-5812
(985) 674-3331
(985) 626-9578
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
467
LA
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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