Individual
MAGGIE MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 CHURCH ST, WILKES BARRE, PA 18702-3507
(570) 808-3100
(570) 808-6356
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
Primary
PS019599
PA
Other
Enumeration date
04/24/2017
Last updated
05/14/2026
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