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Individual

MATTHEW J. MCCORMICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., LP

Contact information

Practice address
1777 AXTELL DR, SUITE 100, TROY, MI 48084-4404
(248) 613-5377
Mailing address
1777 AXTELL DR, SUITE 100, TROY, MI 48084-4404
(248) 613-5377

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015488
MI

Other

Enumeration date
03/15/2011
Last updated
12/01/2016
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