Mccormack, Diane
Mccormack, Diane is an sole proprietor health care provider with primary practice located at 366 Belanger St , Grosse Pointe Farms MI 48236-3334. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mccormack, Diane can be contacted via phone (313) 885-1385.Contact Information
Primary practice address
366 Belanger St
Grosse Pointe Farms MI 48236-3334
Phone: (313) 885-1385
Fax: (313) 884-6432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301007909 | Michigan |
Profile Details
| NPI number | 1376571729 |
|---|---|
| LBN Legal business name | Mccormack, Diane |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Sep 3rd, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376571729 | NPPES |
| Michigan | Other | 680H247980 | BCBSM |
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