Individual
DR. PAUL GLEN MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
271 MAIN ST, SUITE 205, STONEHAM, MA 02180-3591
(781) 438-5550
(781) 438-5553
Mailing address
271 MAIN ST, SUITE 205, STONEHAM, MA 02180-3591
(781) 438-5550
(781) 438-5553
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4192
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1899236
—
MA
Enumeration date
11/20/2006
Last updated
11/10/2008
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