| NPI | 1730446410 |
|---|---|
| Other Name | BRUCE MCCORMICK PH.D. |
| Entity Type | Organization |
| Authorized Contact | BRUCE KQ MCCORMICK Medical Psychologist/Owner 318-865-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |