Individual
DR. MAUREEN KELLY MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
592A WASHINGTON ST, WELLESLEY, MA 02482-6417
(508) 736-7796
Mailing address
26 PLAIN STREET, WAYLAND, MA 01778
(508) 358-6366
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6334
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W05172
BL
MA
Enumeration date
12/12/2006
Last updated
05/31/2020
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