Individual
MRS. CHRISTINE ANN MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
850 ROUTE 17A, GREENWOOD LAKE, NY 10925-2701
(914) 523-8374
Mailing address
850 ROUTE 17A, GREENWOOD LAKE, NY 10925-2701
(914) 523-8374
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015948-1
NY
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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