Organization
BEAVER PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCY MCCORMICK CRNP (OWNER)
(724) 544-9190
Entity
Organization
Contact information
Practice address
935 BANK ST, BEAVER, PA 15009-2603
(724) 544-9190
Mailing address
336 COLLEGE AVE, SUITE 102, BEAVER, PA 15009-2231
(724) 544-9190
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP012444
PA
Other
Enumeration date
11/01/2016
Last updated
06/08/2017
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