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Individual

DR. JOHANINA MCCORMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH. D.

Contact information

Practice address
2 CALLE MUNOZ RIVERA, SUIT 307, CAGUAS, PR 00725-2603
(787) 744-4778
Mailing address
J48 AVE ALEJANDRINO, VILLA CLEMENTINA, GUAYNABO, PR 00969-4612
(646) 300-3399

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003592
PR
103TC0700X
Clinical Psychologist
019005-1
NY

Other

Enumeration date
02/15/2017
Last updated
02/15/2017
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