Mccormick, Jason

Mccormick, Jason is an individual health care provider with primary practice located at 193 Oak St Suite 1, Newton MA 02464-1457. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Mccormick, Jason can be contacted via phone (617) 641-0900.

Contact Information

Primary practice address
193 Oak St Suite 1 Newton MA 02464-1457
Phone: (617) 641-0900
Fax: (617) 641-0930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 8061 Massachusetts

Profile Details

NPI number 1588713820
LBN Legal business name Mccormick, Jason
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Mar 21st, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588713820 NPPES
Massachusetts Other W06384 BLUE CROSS PROVIDER #

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