Individual
NAOMI BETH MCCORMICK
Active
Individual
NAOMI BETH MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
000809
IA
103TC0700X
Clinical Psychologist
Primary
00809
IA
103TH0004X
Health Psychologist
000809
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142854
VALUE OPTIONS
—
05
—
174144000
—
IA
01
—
22718
BLUE CROSS BLUE SHIELD
IA
Enumeration date
06/02/2006
Last updated
04/17/2015
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