Individual
MS. DONNA MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
830 SOUTH GLOSTER STREET, TUPELO, MS 38801
(662) 377-7361
Mailing address
1309 MAXWELL ST, TUPELO, MS 38804-2530
(662) 377-7361
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2386
MS
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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