Individual
MR. MATTHEW MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1302 BLACK WALNUT DR, PHOENIXVILLE, PA 19460-4853
(610) 755-8390
Mailing address
1302 BLACK WALNUT DR, PHOENIXVILLE, PA 19460-4853
(610) 755-8390
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
752132
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP031156
PA
Other
Enumeration date
03/18/2022
Last updated
01/15/2025
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