| Paul Mccormick, Ph.d. | |
|
271 Main St Suite 205 Stoneham MA 02180-3591 | |
| (781) 438-5550 | |
| (781) 438-5553 |
| Full Name | Paul Mccormick, Ph.d. |
|---|---|
| Speciality | Psychologist |
| Location | 271 Main St, Stoneham, Massachusetts |
| Authorized Official Name and Position | Paul Glen Mccormick (PRESIDENT/OWNER) |
| Authorized Official Contact | 7814385550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Mccormick, Ph.d. 271 Main St Suite 205 Stoneham MA 02180-3591 Ph: (781) 438-5550 | Paul Mccormick, Ph.d. 271 Main St Suite 205 Stoneham MA 02180-3591 Ph: (781) 438-5550 |
| NPI Number | 1205002045 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 05/01/2008 |
| Medicare PECOS PAC ID | 2163591280 |
|---|---|
| Medicare Enrollment ID | O20080515000406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205002045 | NPI | - | NPPES |
| 9782249 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 4192 (Massachusetts) | Primary |
| Provider Name | Paul G Mccormick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215001680 PECOS PAC ID: 7214006329 Enrollment ID: I20080515000344 |
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