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DR. BRUCE K MCCORMICK PHD NPI 1043327968


NPI Information

NPI: 1043327968
Provider Name: DR. BRUCE K MCCORMICK, PHD
Classification: Psychologist - 103TP0016X
Entity Type: Individual

Specialization: Prescribing (Medical)

PECOS Registration: Yes

Address:
3341 YOUREE DR STE 20A
SHREVEPORT, LA
ZIP 71105
Phone: (318) 865-7500
Get Directions

DR. Bruce K Mccormick, PHD is a prescribing (medical) psychologist in Shreveport, LA. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. DR. Bruce K Mccormick, PHD NPI is 1043327968. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3341 YOUREE DR STE 20A
SHREVEPORT, LA
ZIP 71105-149
Phone: (318) 865-7500
Fax: (318) 868-2035

The NPI 1043327968 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 9/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologist631LOUISIANANo
2103TC1900XPsychologistCounseling631LOUISIANANo
3103TC2200XPsychologistClinical Child & Adolescent631LOUISIANANo
4103TF0000XPsychologistFamily631LOUISIANANo
5103TP0016XPsychologistPrescribing (Medical)631MPLOUISIANANo
6103TS0200XPsychologistSchool631LOUISIANANo
7106H00000XMarriage & Family Therapist631LOUISIANANo
8103TP0016XPsychologistPrescribing (Medical)MPAP.000013LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.