Theresa Mccormick, LMFT, LEP is a
Marriage & Family Therapist based in Santa Rosa, California. Theresa Mccormick is licensed to practice in California (license number 147339) and her current practice location is
350 College Ave Ste 101, Santa Rosa, California. She can be reached at her office (for appointments etc.) via phone at
(925) 408-8867.
NPI number for Theresa Mccormick is 1700309473 and her current mailing address is 4722 Foulger Dr, Santa Rosa, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700309473.
Healthcare Provider's Profile
Full Name | Theresa Mccormick |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 350 College Ave Ste 101, Santa Rosa, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700309473
- Provider Enumeration Date: 07/25/2017
- Last Update Date: 03/07/2025
Medical Identifiers
Medical identifiers for Theresa Mccormick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700309473 | NPI | - | NPPES |
1700309473 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 4267 (California) | Secondary |
106H00000X | Marriage & Family Therapist | 147339 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theresa Mccormick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Theresa Mccormick, LMFT, LEP 4722 Foulger Dr, Santa Rosa, CA 95405-7910 Ph: (925) 408-8867 | Theresa Mccormick, LMFT, LEP 350 College Ave Ste 101, Santa Rosa, CA 95401-5125 Ph: (925) 408-8867 |
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