Individual
MR. STEVEN DOUGLAS MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2288 AUBURN BLVD., SUITE #101, SACRAMENTO, CA 95821
(916) 640-8161
(916) 640-8151
Mailing address
P.O. BOX #2306, CARMICHAEL, CA 95609
(916) 640-8161
(916) 640-8151
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY12990
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171397200
ACS
—
Enumeration date
03/12/2007
Last updated
04/24/2014
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