Individual
JAMIE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2701 SOUTHAMPTON RD, PHILADELPHIA, PA 19154-1205
(215) 965-0338
Mailing address
PO BOX 870, HUNTINGDON, PA 16652-0870
(814) 506-8212
(814) 506-8213
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009347
PA
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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