Individual
CORMACK H MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
9650 ZELZAH AVE, NORTHRIDGE, CA 91325-2003
(818) 830-0200
(818) 830-0206
Mailing address
9650 ZELZAH AVE, NORTHRIDGE, CA 91325-2003
(818) 830-0200
(818) 830-0206
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
RPS2012449
CA
Other
Enumeration date
03/09/2011
Last updated
09/30/2014
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